Organization · Type 2 NPI
Southside Pharmacy
Pharmacy · Earlington, KY
Practice location
102 E Main St
Earlington, KY 42410-1334
Fax (270) 383-3297
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | 011354 (KY) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | P06644 (KY) |
| Customized Equipment (DME) | 332BC3200X | P06644 (KY) |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | P06644 (KY) |
| Pharmacy Primary | 333600000X | P06644 (KY) |
| Community/Retail Pharmacy | 3336C0003X | P06644 (KY) |
Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…
About NPI 1104908359
Southside Pharmacy's National Provider Identifier is 1104908359, issued on Oct 19, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Earlington, KY. The record was last updated on Sep 11, 2025.