Southside Pharmacy

LBN: Southside Pharmacy
Southside Pharmacy is an health care organization with primary practice located at 102 E Main St , Earlington KY 42410-1334. The organization recently has 6 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Pharmacy Service Providers / Pharmacist is the primary health care specialty. Southside Pharmacy can be contacted via phone (270) 383-3784, or through Seiber, Mike via phone (270) 383-3784.

Contact Information

Primary practice address
102 E Main St Earlington KY 42410-1334
Phone: (270) 383-3784
Fax: (270) 383-3297
Website:
Map and Directions
Authorized official contact:
Name: Seiber, Mike R.PH.
Phone: (270) 383-3784

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 011354 Kentucky
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X P06644 Kentucky
Suppliers / Customized Equipment 332BC3200X P06644 Kentucky
Suppliers / Oxygen Equipment & Supplies 332BX2000X P06644 Kentucky
Suppliers / Pharmacy 333600000X P06644 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X P06644 Kentucky

Profile Details

NPI number 1104908359
LBN Legal business name Southside Pharmacy
DBA Doing business as
Authorized official Seiber, Mike R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 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 1104908359 NPPES
Kentucky MEDICAID 54002274

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