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WEST SIDE COMMUNITY HEALTH SERVICES INC NPI 1871755975


NPI Information

NPI: 1871755975
Provider Name: WEST SIDE COMMUNITY HEALTH SERVICES INC

Doing Business As: EAST SIDE FAMILY CLINIC PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
895 7TH ST E
SAINT PAUL, MN
ZIP 55106
Phone: (651) 793-2250
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WEST SIDE COMMUNITY HEALTH SERVICES INC is a clinic pharmacy pharmacy in Saint Paul, MN. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. WEST SIDE COMMUNITY HEALTH SERVICES INC NPI is 1871755975. The provider is registered as an organization entity type.
The provider Is Doing Business As East Side Family Clinic Pharmacy.

The provider's business location address is:

895 7TH ST E
SAINT PAUL, MN
ZIP 55106-871
Phone: (651) 793-2250
Fax: (651) 793-2240

The provider's authorized official is Deanna Gengler .
The authorized official title is Pic and has the following contact phone number (651) 793-2245.

The enumeration date for this NPI number is 6/30/2008 and was last updated on 6/22/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyNo
33336C0002XPharmacyClinic Pharmacy263192MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12049696OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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