Southside Specialty Pharmacy

LBN: Southside Specialty Pharmacy
Southside Specialty Pharmacy is an health care organization with primary practice located at 3416 Old Greenwood Rd Suite A, Fort Smith AR 72903-5462. The organization recently has only one registered license in Suppliers / Specialty Pharmacy, which is considered as the primary health care specialty. Southside Specialty Pharmacy can be contacted via phone (479) 242-2888, or through Herraka, Ihab via phone (479) 242-2888.

Contact Information

Primary practice address
3416 Old Greenwood Rd Suite A Fort Smith AR 72903-5462
Fax:
Website:
Authorized official contact:
Name: Herraka, Ihab

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Specialty Pharmacy 3336S0011X AR20829 Arkansas

Profile Details

NPI number 1497114144
LBN Legal business name Southside Specialty Pharmacy
DBA Doing business as
Authorized official Herraka, Ihab
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2016
Last updated Feb 22nd, 2016 - about 8 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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