Southside Prof Pharmacy Inc

LBN: Southside Prof Pharmacy Inc
Southside Prof Pharmacy Inc is an health care organization with primary practice located at 1408 Bland St , Bluefield WV 24701-3746. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Southside Prof Pharmacy Inc can be contacted via phone (304) 327-5600, or through Stauffer, Susie via phone (304) 327-5600.

Contact Information

Primary practice address
1408 Bland St Bluefield WV 24701-3746
Phone: (304) 327-5600
Fax: (304) 323-1609
Website:
Map and Directions
Authorized official contact:
Name: Stauffer, Susie
Phone: (304) 327-5600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X SP0550262 West Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1326145160
LBN Legal business name Southside Prof Pharmacy Inc
DBA Doing business as
Authorized official Stauffer, Susie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 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 1326145160 NPPES
Other 5001463 OTHER ID NUMBER-COMMERCIAL NUMBER

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