Southside Pharmacy

LBN: Southside Master Llc
Southside Pharmacy is an health care organization with primary practice located at 755 Mount Vernon Hwy Suite 450, Atlanta GA 30328-4292. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Southside Master Llc can be contacted via phone (470) 377-4054, or through Jain, Amit via phone (713) 660-8888.

Contact Information

Primary practice address
755 Mount Vernon Hwy Suite 450 Atlanta GA 30328-4292
Phone: (470) 377-4054
Fax: (470) 377-4055
Website:
Map and Directions
Authorized official contact:
Name: Jain, Amit
Phone: (713) 660-8888

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1063077881
LBN Legal business name Southside Master Llc
DBA Doing business as Southside Pharmacy
Authorized official Jain, Amit
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2019
Last updated Nov 19th, 2019 - about 5 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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