| NPI | 1073535647 |
|---|---|
| Doing Business As | SOUTHSIDE DRUG COMPANY |
| Entity Type | Organization |
| Authorized Contact | KENNETH CHAPMKAN VP 704-873-7612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 05229) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2015-01-28 |