Eastside Pharmacy Inc in Poplar Bluff - Community/retail Pharmacy
Eastside Pharmacy Inc - NPI 1972557171
Eastside Pharmacy Inc is a Community/retail Pharmacy in Poplar Bluff, Missouri. Eastside Pharmacy Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. 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 |
|---|---|
| Address | 400 E Pine St, Poplar Bluff, Missouri |
| Phone Number | 5736867238 |
| Fax Number | 5736867239 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACIST |
|---|---|
| Authorized Official Name | Nelson Alan Keith |
| Credentials | RPH |
| Telephone Number | 5736867238 |
NPI Number Detail
| NPI Number | 1972557171 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2022-11-14 |
Provider Mailing Address Detail
| Address | 400 E Pine St |
|---|---|
| City | Poplar Bluff |
| State | Missouri (MO) |
| Post Code | 639015401 |
| Phone Number | 5736867238 |
| Fax Number | 5736867239 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 5573 |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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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 Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, 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.