Eastside Pharmacy is an authorized DME supplier for medicare equipments and products.
Eastside Pharmacy is a Community/Retail Pharmacy in Poplar Bluff, Missouri. This pharmacy is owned and operated by Eastside Pharmacy Inc. It is located at 400 E Pine St, Poplar Bluff and it's customer support contact number is 573-686-7238. The authorized person of Eastside Pharmacy is Mr. David Carroll Odom, RPH who is Owner Rph of the pharmacy and his contact number is 573-686-7238. Active license number of Eastside Pharmacy is 005573 for Community/Retail Pharmacy in Missouri. Eastside Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Eastside Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Eastside Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Eastside Pharmacy
Type:
Community/Retail Pharmacy
Location:
400 E Pine St, Poplar Bluff, Missouri, 63901-5401
Phone:
573-686-7238
Fax:
573-686-7239
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Mr. David Carroll Odom
Credentials:
RPH
Position:
Owner Rph
Contact Number:
573-686-7238
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1750421079
NPI Enumeration Date:
07 Feb, 2007
NPI Last Update On:
21 Nov, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eastside Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
005573
Missouri
Primary
Durable Medical Equipment & Medical Supplies
005573
Missouri
Secondary
Long Term Care Pharmacy
005573
Missouri
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
601773500
Medicaid
Missouri
Medicare Enrollment:
Eastside Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
6709903206
O20100930000012
Eastside Pharmacy Inc
DME SUPPLIER - PHARMACY
6709903206
O20161222000038
Eastside Pharmacy Inc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Products Available:
Eastside Pharmacy has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Commodes, Urinals, & Bedpans
Nebulizer Equipment & Supplies
Orthoses: Off-the-shelf
Walkers
Wheelchairs & Accessories: Standard Manual
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
400 E Pine St, Poplar Bluff, Missouri
Zip:
63901-5401
Phone Number:
573-686-7238
Fax Number:
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Patients can reach Eastside Pharmacy at 400 E Pine St, Poplar Bluff, Missouri or can call on customer care at 573-686-7238.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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