| NPI | 1043254774 |
|---|---|
| Doing Business As | NORTHSIDE PHARMACY NURSING HOME DIVISION |
| Entity Type | Organization |
| Authorized Contact | MATTHEW MADDEN Director 740-454-5666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OH 02825250) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-03-07 |