Southside Pharmacy Of Lorain Inc

LBN: Southside Pharmacy Of Lorain Inc
Southside Pharmacy Of Lorain Inc is an health care organization with primary practice located at 2811 Fulton Rd Ste B, Lorain OH 44055-1638. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Southside Pharmacy Of Lorain Inc can be contacted via phone (440) 277-0655, or through Taher, Naser via phone (440) 277-0655.

Contact Information

Primary practice address
2811 Fulton Rd Ste B Lorain OH 44055-1638
Phone: (440) 277-0655
Fax: (440) 277-0651
Website:
Map and Directions
Authorized official contact:
Name: Taher, Naser
Phone: (440) 277-0655

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 022447550 Ohio

Profile Details

NPI number 1992105472
LBN Legal business name Southside Pharmacy Of Lorain Inc
DBA Doing business as Southside Pharmacy Of Lorain Inc
Authorized official Taher, Naser
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2014
Last updated Dec 30th, 2014 - about 10 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 1992105472 NPPES
Other 2148083 PK
MEDICAID 0113462 PK

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