Organization
SOUTHSIDE COMMUNITY HEALTH SERVICES, INC.
Active
Parent organization
SOUTHSIDE COMMUNITY HEALTH SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHSIDE COMMUNITY HEALTH SERVICES, INC.
Authorized official
STACY FERDERER PHARMD (DIRECTOR OF PHARMACY)
(612) 384-9248
Entity
Organization
Contact information
Practice address
1000 E LAKE ST, MINNEAPOLIS, MN 55407-1617
(612) 384-9248
Mailing address
1000 E LAKE ST, MINNEAPOLIS, MN 55407-1617
(612) 384-9248
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/21/2026
Last updated
08/21/2026
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