Southside Family Pharmacy, Inc,

LBN: Southside Family Pharmacy Inc
Southside Family Pharmacy, Inc, is an health care organization with primary practice located at 1250 Highway 77 , Southside AL 35907-0405. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Southside Family Pharmacy Inc can be contacted via phone (256) 413-4473, or through Boggs, Tracy via phone (256) 413-4473.

Contact Information

Primary practice address
1250 Highway 77 Southside AL 35907-0405
Phone: (256) 413-4473
Fax: (256) 413-7358
Website:
Map and Directions
Authorized official contact:
Name: Boggs, Tracy
Phone: (256) 413-4473

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 112170 Alabama

Profile Details

NPI number 1396753927
LBN Legal business name Southside Family Pharmacy Inc
DBA Doing business as Southside Family Pharmacy, Inc,
Authorized official Boggs, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Jan 14th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396753927 NPPES
Alabama MEDICAID 142548
Alabama Other 2137549

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