Southside Pharmacy LTD – Clinic Pharmacy, NPI 1407121841

Southside Pharmacy LTD is a healthcare provider. based in Saint cloud, Minnesota. specializing in Clinic Pharmacy. The organization holds a License No. 264130 (MN). The NPI Number for Southside Pharmacy LTD is 1407121841

Main info

Organization
Name
Southside Pharmacy LTD
NPI
1407121841
Phone
(320) 259-0000
Address
1301 33RD ST S
Authorized Official
DOUGLAS WUNDERLICH PHARMACIST/OWNER
Enumeration Date
19 March 2012
Last Update Date
3 June 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness80
Years active:14State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Southside Pharmacy LTD

  • 1301 33RD ST S

    SAINT CLOUD, MN 563019668

    Phone: (320) 259-0000

    Fax: (320) 259-0001

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56301)

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Frequently asked questions

What is the 10-digit NPI for Southside Pharmacy LTD?
Southside Pharmacy LTD — NPI 1407121841 — is the standard way to identify this listing.
Does CMS list Southside Pharmacy LTD as active?
Yes — Southside Pharmacy LTD is active in the NPI listing used on this page.
What is Southside Pharmacy LTD's primary classification?
Clinic Pharmacy is the headline specialty for Southside Pharmacy LTD here. Clinical services aligned with this taxonomy classification.
Where should I expect Southside Pharmacy LTD on a map?
Expect Saint Cloud, Minnesota as a primary anchor for Southside Pharmacy LTD unless the record lists multiple sites.
Why does Southside Pharmacy LTD have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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