SOUTHSIDE PHARMACY LTD (NPI# 1669561163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669561163 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE PHARMACY LTD |
| Other Organization Name | FOLEY DRUG |
| Practice Address |
351 Dewey St Foley MN 56329-8447 |
| Mailing Address |
Po Box 217 Foley MN 56329-0217 |
| Practice Telephone | 3209687272 |
| Practice Fax Number | 3209687273 |
| Mailing Telephone | 3209687272 |
| Mailing Fax Number | 3209687273 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-03-22 |
| Authorized Official Name | DOUG T WUNDERLICH (CEO) |
| Authorized Official Telephone | 3202590000 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
265217 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 116561163 | 05 | |
| PK | 2167329 | 01 |
| Other Name | Type Code |
|---|---|
| Foley Drug | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407121841 | Southside Pharmacy Ltd | Pharmacy | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2012-03-19 |
| Street Address |
351 DEWEY ST |
| City | FOLEY |
| State | MN |
| Zip Code | 56329-8447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467766212 | Doug T Wunderlich | Pharmacist | 351 Dewey St, Foley, MN 56329-8447 | 2010-08-04 |
| 1154654200 | Jennifer Ann Watson | Pharmacist | 351 Dewey St, Foley, MN 56329-8447 | 2009-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558898387 | Centracare Clinic | Clinic/Center | 161 Glen St., Ste 101, Foley, MN 56329 | 2017-05-11 |
| 1023323433 | Schu-tran LLC | Non-emergency Medical Transport (VAN) | 325 Glen St, Foley, MN 56329 | 2010-08-10 |
| 1659699288 | Clifford Dillon Stiles | Family Medicine | 471 Hwy 23 Ne, Foley, MN 56329 | 2010-05-06 |
| 1770813081 | Foley Health Care Inc | Home Health | 253 Pine Street, Foley, MN 56329 | 2010-01-08 |
| 1679600670 | Foley Area Care A Living At Home Block Nurse Program | Voluntary or Charitable | 251 4th Ave N, Foley, MN 56329 | 2007-02-27 |
| 1932272572 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 161 Glen St, Foley, MN 56329 | 2006-11-15 |
| 1225112329 | Steven William O'brien | Dentist | 311 Dewey St, Foley, MN 56329 | 2006-10-25 |
| 1295818029 | County of Benton Ind School Dist 51 | Local Education Agency (LEA) | 840 Norman Ave N, Foley, MN 56329 | 2006-10-23 |
| 1588744643 | Foley Health Care Inc | Home Health | 120 Norman Avenue South, Foley, MN 56329 | 2006-10-16 |
| 1346332202 | Barbara Ann Mergen | Nurse Practitioner | 471 Hwy 23, Foley Medical Center Ltd, Foley, MN 56329 | 2006-09-29 |
| Find all providers in zip 56329 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194060160 | Freds Stores of Tennessee Inc | Pharmacy | 1200 N. Mckenzie Street, Foley, AL 36535 | 2012-12-03 |
| 1366627770 | Medistat Rx, LLC | Pharmacy | 110 E Azalea Ave, Foley, AL 36535-2540 | 2008-01-03 |
| 1548275811 | Walgreen Co | Pharmacy | 698 S Mckenzie St, Foley, AL 36535-3541 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368633 | Sawtooth Mountain Clinic, Inc. | Pharmacy | 513 5th Ave W Rm 201, Grand Marais, MN 55604-3017 | 2020-08-27 |
| 1891313326 | Rochester Community Pharmacy LLC | Pharmacy | 1604 1st St Nw, Rochester, MN 55901-0318 | 2020-07-10 |
| 1134745730 | Elko New Market Family Pharmacy, LLC | Pharmacy | 117 Old Town Road, Elko New Market, MN 55054 | 2020-06-19 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1205460169 | Genoa Healthcare, LLC | Pharmacy | 1515 Energy Park Dr Ste 110, Saint Paul, MN 55108-5229 | 2020-02-28 |
| 1801438361 | The Duluth Clinic, Ltd. | Pharmacy | 2 Division St Ste A, Deer River, MN 56636-8779 | 2019-10-16 |
| 1265084792 | Nudak Ventures, LLC | Pharmacy | 5418 Saint Croix Trl, North Branch, MN 55056-4203 | 2019-07-15 |
| 1659938116 | Sterlingrx Inc | Pharmacy | 1312 Northland Dr Ste 500, Mendota Heights, MN 55120-1436 | 2019-05-21 |
| 1639734346 | Seward Pharmacy LLC | Pharmacy | 2209 E Lake St, Minneapolis, MN 55407-4563 | 2019-05-08 |
| 1093370694 | Minnesota Ave N Pharmacy Services Limited | Pharmacy | 226 Minnesota Ave N, Aitkin, MN 56431-1412 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.