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Contact Information

EAST SIDE PRESCRIPTION CENTER INC
632 HOPE ST
PROVIDENCE, RI02906-2658
 Phone: 401-751-1430
 Fax: 401-454-8096
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for EAST SIDE PRESCRIPTION CENTER INC

NPI # 1194760470
LBN Legal business name EAST SIDE PRESCRIPTION CENTER INC
Authorized official RICHARD BACKER - (PRES)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2006
Last updated 01/20/2009 - About 17 years ago
Identifiers
RI License # 209
RI License # ES04467
RI Medicaid 9010209
RI Medicaid ES04467
Other 4102961 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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