Southside Pharmacy

LBN: Swofford Inc
Southside Pharmacy is an health care organization with primary practice located at 98 Dodd St , Spring Hope NC 27882-9581. 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. Swofford Inc can be contacted via phone (252) 478-5969, or through Cloniger, Mark via phone (252) 478-5969.

Contact Information

Primary practice address
98 Dodd St Spring Hope NC 27882-9581
Phone: (252) 478-5969
Fax: (252) 478-2978
Website:
Map and Directions
Authorized official contact:
Name: Cloniger, Mark
Phone: (252) 478-5969

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 07891 North Carolina

Profile Details

NPI number 1124112412
LBN Legal business name Swofford Inc
DBA Doing business as Southside Pharmacy
Authorized official Cloniger, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124112412 NPPES
North Carolina MEDICAID 0645440
North Carolina MEDICAID 7703795
North Carolina Other 2067390

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