Southside Pharmacy

LBN: F And J Inc
Southside Pharmacy is an health care organization with primary practice located at 2106 Grand Ave , Wausau WI 54403-6912. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. F And J Inc can be contacted via phone (715) 845-3713, or through Franck, Aaron R. via phone (715) 845-3713.

Contact Information

Primary practice address
2106 Grand Ave Wausau WI 54403-6912
Phone: (715) 845-3713
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Franck, Aaron R. RPH
Phone: (715) 845-3713

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 8252042 Wisconsin

Profile Details

NPI number 1811084015
LBN Legal business name F And J Inc
DBA Doing business as Southside Pharmacy
Authorized official Franck, Aaron R. RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2006
Last updated Apr 30th, 2009 - about 17 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 1811084015 NPPES
Other 5122332 OTHER ID NUMBER
Other 5122332 OTHER ID NUMBER
MEDICAID 33205000WI OTHER ID NUMBER

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