Parkside Pharmacy Inc

LBN: Parkside Pharmacy Inc
Parkside Pharmacy Inc is an health care organization with primary practice located at 2200 Ferry St , Lafayette IN 47904-3016. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Parkside Pharmacy Inc can be contacted via phone (765) 447-1000, or through Gerhart, Randall L via phone (765) 447-1000.

Contact Information

Primary practice address
2200 Ferry St Lafayette IN 47904-3016
Phone: (765) 447-1000
Fax: (765) 447-4714
Website:
Map and Directions
Authorized official contact:
Name: Gerhart, Randall L BS PHARMACY
Phone: (765) 447-1000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 60002772A Indiana
Suppliers / Long Term Care Pharmacy 3336L0003X 60002772A Indiana

Profile Details

NPI number 1063465904
LBN Legal business name Parkside Pharmacy Inc
DBA Doing business as
Authorized official Gerhart, Randall L BS PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Aug 15th, 2016 - about 10 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 1063465904 NPPES
Indiana MEDICAID 100301510A

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