Eastside Pharmacy Inc in Poplar Bluff - Durable Medical Equipment & Medical Supplies
Eastside Pharmacy Inc - NPI 1972557171
Eastside Pharmacy Inc is a Durable Medical Equipment & Medical Supplies in Poplar Bluff, Missouri. Eastside Pharmacy Inc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Eastside Pharmacy Inc is 1972557171. The last update date is 2022-11-14.
Eastside Pharmacy Inc's current location address is 400 E Pine St, Poplar Bluff, Missouri. You can contact this provider via phone number 5736867238 and fax number 5736867239. The mailing address for Eastside Pharmacy Inc is 400 E Pine St, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Eastside Pharmacy Inc |
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Address | 400 E Pine St, Poplar Bluff, Missouri |
Phone Number | 5736867238 |
Fax Number | 5736867239 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHARMACIST |
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Authorized Official Name | Nelson Alan Keith |
Credentials | RPH |
Telephone Number | 5736867238 |
NPI Number Detail
NPI Number | 1972557171 |
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Provider Enumeration Date | 2006-05-20 |
Last Updated Date | 2022-11-14 |
Provider Mailing Address Detail
Address | 400 E Pine St |
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City | Poplar Bluff |
State | Missouri (MO) |
Post Code | 639015401 |
Phone Number | 5736867238 |
Fax Number | 5736867239 |
Provider's Primary Taxonomy Detail
Speciality | Durable Medical Equipment & Medical Supplies |
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Taxonomy | 332B00000X |
Licence No | 621773506 |
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2619623 | NABP # | ||
621773506 | MO | -- | |
601773500 | MO | -- |
Post Comment/ Review Below
What is the Eastside Pharmacy Inc's 1972557171?
The Eastside Pharmacy Inc's NPI (National Provider Identifier) Number is 1972557171. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Eastside Pharmacy Inc's physical address?
The Eastside Pharmacy Inc is physically located at 400 E Pine St, in the city of Poplar Bluff, MO, with the postal code 639015401.
What is the Eastside Pharmacy Inc's area of specialization and corresponding taxonomy classification?
The Eastside Pharmacy Inc's specialty field is Durable Medical Equipment & Medical Supplies, and it falls under the taxonomy code 332B00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972557171 to Eastside Pharmacy Inc?
The Centers for Medicare & Medicaid Services originally issued the 1972557171 to Eastside Pharmacy Inc on 2006-05-20.
When was the information related to Eastside Pharmacy Inc most recently updated or refreshed?
The details pertaining to the Eastside Pharmacy Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-11-14.