Southside Pharmacy is an authorized DME supplier for medicare equipments and products.
Southside Pharmacy is a Community/Retail Pharmacy in Conway, South Carolina. This pharmacy is owned and operated by Southside Pharmacy Llc. It is located at 3320 4th Ave Ste F, Conway and it's customer support contact number is 843-248-6550. The authorized person of Southside Pharmacy is Johnny Capps who is President/pharmacist In Charge of the pharmacy and his contact number is 843-248-6550. Active license number of Southside Pharmacy is 13996 for Community/Retail Pharmacy in South Carolina. Southside Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Southside 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:
Southside 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:
Southside Pharmacy
Type:
Community/Retail Pharmacy
Location:
3320 4th Ave Ste F, Conway, South Carolina, 29527-6057
Phone:
843-248-6550
Fax:
843-248-6553
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:
Johnny Capps
Position:
President/pharmacist In Charge
Contact Number:
843-248-6550
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:
1104186212
NPI Enumeration Date:
22 May, 2012
NPI Last Update On:
17 Jan, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southside Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
13996
South Carolina
Primary
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
2135319
Other
Pk
71399D
Medicaid
South Carolina
Medicare Enrollment:
Southside 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
9931401890
O20160108001537
Southside Pharmacy Llc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3320 4th Ave Ste F, Conway, South Carolina
Zip:
29527-6057
Phone Number:
843-248-6550
Fax Number:
843-248-6553
Patients can reach Southside Pharmacy at 3320 4th Ave Ste F, Conway, South Carolina or can call on customer care at 843-248-6550.
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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