Southside Drug Inc

LBN: Southside Drug Inc
Southside Drug Inc is an health care organization with primary practice located at 511 Broadway St Southern Village S/C, South Fulton TN 38257-2401. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Southside Drug Inc can be contacted via phone (731) 479-2262, or through Andrews, Philip via phone (731) 479-2262.

Contact Information

Primary practice address
511 Broadway St Southern Village S/C South Fulton TN 38257-2401
Phone: (731) 479-2262
Fax: (731) 479-3161
Website:
Map and Directions
Authorized official contact:
Name: Andrews, Philip
Phone: (731) 479-2262

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 1133 Tennessee

Profile Details

NPI number 1093720641
LBN Legal business name Southside Drug Inc
DBA Doing business as
Authorized official Andrews, Philip
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093720641 NPPES
Tennessee MEDICAID 4400759
Tennessee Other 4400759

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