South Side Pharmacy, Inc.

LBN: South Side Pharmacy, Inc.
South Side Pharmacy, Inc. is an health care organization with primary practice located at 6905 S Wentworth Ave , Chicago IL 60621-3734. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. South Side Pharmacy, Inc. can be contacted via phone (773) 723-2500, or through Diorio, Tony via phone (815) 834-0020.

Contact Information

Primary practice address
6905 S Wentworth Ave Chicago IL 60621-3734
Fax:
Website:
Authorized official contact:
Name: Diorio, Tony

Health care specialties

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

Profile Details

NPI number 1912944844
LBN Legal business name South Side Pharmacy, Inc.
DBA Doing business as
Authorized official Diorio, Tony
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Aug 22nd, 2020 - about 6 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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