Southside Pharmacy

LBN: Coventry Plaza Pharmacy Inc
Southside Pharmacy is an health care organization with primary practice located at 2811 Fulton Rd Ste B, Lorain OH 44055-1638. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Coventry Plaza Pharmacy Inc can be contacted via phone (440) 277-0655, or through Sbeih, Sbeih via phone (440) 277-0655.

Contact Information

Primary practice address
2811 Fulton Rd Ste B Lorain OH 44055-1638
Phone: (440) 277-0655
Fax: (440) 277-0651
Website:
Map and Directions
Authorized official contact:
Name: Sbeih, Sbeih RPH
Phone: (440) 277-0655

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 021599100 Ohio
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1225191851
LBN Legal business name Coventry Plaza Pharmacy Inc
DBA Doing business as Southside Pharmacy
Authorized official Sbeih, Sbeih RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Oct 20th, 2014 - about 12 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 1225191851 NPPES
Ohio MEDICAID 2701580
Ohio Other 2080565

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