Parkside Pharmacy Inc in Lafayette - Pharmacy
Parkside Pharmacy Inc - NPI 1063465904
Parkside Pharmacy Inc is a Pharmacy in Lafayette, Indiana. Parkside Pharmacy Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Parkside Pharmacy Inc is 1063465904. The last update date is 2016-08-15.
Parkside Pharmacy Inc's current location address is 2200 Ferry St, Lafayette, Indiana. You can contact this provider via phone number 7654471000 and fax number 7654474714. The mailing address for Parkside Pharmacy Inc is 2200 Ferry St, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Parkside Pharmacy Inc |
|---|---|
| Address | 2200 Ferry St, Lafayette, Indiana |
| Phone Number | 7654471000 |
| Fax Number | 7654474714 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PHAR |
|---|---|
| Authorized Official Name | Gerhart L Randall |
| Credentials | BS PHARMAC |
| Telephone Number | 7654471000 |
NPI Number Detail
| NPI Number | 1063465904 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2016-08-15 |
Provider Mailing Address Detail
| Address | 2200 Ferry St |
|---|---|
| City | Lafayette |
| State | Indiana (IN) |
| Post Code | 479043016 |
| Phone Number | 7654471000 |
| Fax Number | 7654474714 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 60002772A |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100301510A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Parkside Pharmacy Inc by the Centers for Medicare & Medicaid Services?
The Parkside Pharmacy Inc has been assigned the NPI (National Provider Identifier) 1063465904 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Parkside Pharmacy Inc is physically located?
The Parkside Pharmacy Inc is situated at the following address: 2200 Ferry St, Lafayette, IN 479043016.
What is Parkside Pharmacy Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Parkside Pharmacy Inc's area of specialization is Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 333600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063465904 to Parkside Pharmacy Inc?
The Parkside Pharmacy Inc received its 1063465904 assignment from the Centers for Medicare & Medicaid Services on 2006-05-19.
When was the information pertaining to Parkside Pharmacy Inc most recently updated or revised?
The details related to Parkside Pharmacy Inc, including its address, specialty, and other relevant information, were last updated or revised on 2016-08-15.