| NPI | 1053345421 |
|---|---|
| Doing Business As | NORTHSIDE FAMILY PHARMACY AT THE PLAZA |
| Entity Type | Organization |
| Authorized Contact | ANGELA STOKES Pres 252-985-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 09327) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2009-08-27 |