Nichols Southside Pharmacy

LBN: Southside Pharmacy Inc
Nichols Southside Pharmacy is an health care organization with primary practice located at 3141 Gollihar Rd , Corpus Christi TX 78415-5057. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Southside Pharmacy Inc can be contacted via phone (361) 852-8288, or through Mcneill, John via phone (361) 852-8288.

Contact Information

Primary practice address
3141 Gollihar Rd Corpus Christi TX 78415-5057
Phone: (361) 852-8288
Fax: (361) 854-7269
Website:
Map and Directions
Authorized official contact:
Name: Mcneill, John BS
Phone: (361) 852-8288

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 00317 Texas

Profile Details

NPI number 1669579504
LBN Legal business name Southside Pharmacy Inc
DBA Doing business as Nichols Southside Pharmacy
Authorized official Mcneill, John BS
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Sep 28th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669579504 NPPES
Texas MEDICAID 130889
Texas Other 4516552

Popular Providers