Organization
NORTHSIDE PHARMACY INC
Active
Other names
NORTH SIDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PALMER RPH (PRESIDENT)
(812) 882-1064
Entity
Organization
Contact information
Practice address
1160 E SAINT CLAIR ST, VINCENNES, IN 47591-4853
(812) 882-1064
(812) 882-4004
Mailing address
1160 E SAINT CLAIR ST, VINCENNES, IN 47591-4853
(812) 882-1064
(812) 882-4004
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60002352A
IN
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100177930A
—
IN
01
—
1514430
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/12/2006
Last updated
02/07/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us