South Side Drug
LBN: South Side Drug Inc
South Side Drug is an health care organization with primary practice located at 337 Church St , Ottumwa IA 52501-4212. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
South Side Drug Inc can be contacted via phone (641) 682-3467, or through Frahm, Mark via phone (641) 682-3467.
Contact Information
Primary practice address
337 Church St
Ottumwa IA 52501-4212
Phone: (641) 682-3467
Fax: (641) 682-8822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 597 | Iowa |
Profile Details
| NPI number | 1801817879 |
|---|---|
| LBN Legal business name | South Side Drug Inc |
| DBA Doing business as | South Side Drug |
| Authorized official | Frahm, Mark RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | May 9th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801817879 | NPPES |
| Iowa | MEDICAID | 0052001 | |
| Iowa | Other | 2026297 |
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