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EASTSIDE PHARMACY SERVICES LLC NPI 1275051419


NPI Information

NPI: 1275051419
Provider Name: EASTSIDE PHARMACY SERVICES LLC

Doing Business As: BANNER DRUG

Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
308A MOCKSVILLE HWY
STATESVILLE, NC
ZIP 28625
Phone: (704) 878-6681
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EASTSIDE PHARMACY SERVICES LLC is a pharmacist in Statesville, NC. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. EASTSIDE PHARMACY SERVICES LLC NPI is 1275051419. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Banner Drug.

The provider's business location address is:

308A MOCKSVILLE HWY
STATESVILLE, NC
ZIP 28625-267
Phone: (704) 878-6681

The provider's authorized official is Melinda C Childress .
The authorized official title is Owner and has the following contact phone number (704) 878-6681.

The enumeration date for this NPI number is 9/8/2017 and was last updated on 8/28/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist17650NORTH CAROLINAYes

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: 5/5/2024

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