Southside Pharmacy in Earlington - Pharmacy
Southside Pharmacy - NPI 1104908359
Southside Pharmacy is a Pharmacy in Earlington, Kentucky. Southside Pharmacy practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Southside Pharmacy is 1104908359. The last update date is 2020-08-22.
Southside Pharmacy's current location address is 102 E Main St, Earlington, Kentucky. You can contact this provider via phone number 2703833784 and fax number 2703833297. The mailing address for Southside Pharmacy is 102 E Main St, Earlington, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southside Pharmacy |
|---|---|
| Address | 102 E Main St, Earlington, Kentucky |
| Phone Number | 2703833784 |
| Fax Number | 2703833297 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACIST |
|---|---|
| Authorized Official Name | Seiber Mike |
| Credentials | R.PH. |
| Telephone Number | 2703833784 |
NPI Number Detail
| NPI Number | 1104908359 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 102 E Main St |
|---|---|
| City | Earlington |
| State | Kentucky (KY) |
| Post Code | 424101334 |
| Phone Number | 2703833784 |
| Fax Number | 2703833297 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | P06644 |
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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 |
|---|---|---|---|
| 54002274 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Southside Pharmacy by the Centers for Medicare & Medicaid Services?
The Southside Pharmacy has been issued the NPI (National Provider Identifier) 1104908359 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Southside Pharmacy's physical address?
The Southside Pharmacy is physically located at 102 E Main St, in the city of Earlington, KY, with the postal code 424101334.
What is Southside Pharmacy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Southside Pharmacy is Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 333600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104908359 to Southside Pharmacy?
The Centers for Medicare & Medicaid Services assigned the 1104908359 to Southside Pharmacy on 2006-10-19.
When was the Southside Pharmacy's information last updated?
The Southside Pharmacy's information was last updated on 2020-08-22.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA