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COVENTRY PLAZA PHARMACY INC NPI 1225191851


NPI Information

NPI: 1225191851
Provider Name: COVENTRY PLAZA PHARMACY INC

Doing Business As: SOUTHSIDE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2811 FULTON RD
STE B
LORAIN, OH
ZIP 44055
Phone: (440) 277-0655
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COVENTRY PLAZA PHARMACY INC is a community/retail pharmacy pharmacy in Lorain, OH. The provider 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. COVENTRY PLAZA PHARMACY INC NPI is 1225191851. The provider is registered as an organization entity type.
The provider Is Doing Business As Southside Pharmacy.

The provider's business location address is:

2811 FULTON RD
STE B
LORAIN, OH
ZIP 44055-638
Phone: (440) 277-0655
Fax: (440) 277-0651

The provider's authorized official is Sbeih Sbeih .
The authorized official title is Owner and has the following contact phone number (440) 277-0655.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 10/20/2014.


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
13336C0004XPharmacyCompounding PharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy021599100OHIOYes

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
12080565OTHERPK
22701580MEDICAIDOHIO
35840410001MEDICARE NSC

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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