| NPI | 1003859067 |
|---|---|
| Doing Business As | NORTHSIDE HOME INFUSION |
| Entity Type | Organization |
| Authorized Contact | EDWARD JAY STOEPFEL Director 740-454-5666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: OH 021068550) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2021-04-25 |