| NPI | 1063591949 |
|---|---|
| Doing Business As | NORTHSIDE HEALTH CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | QUENTIN NORMAN Pharmacy Director 513-352-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: OH 020294600) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2017-02-14 |