| NPI | 1164839577 |
|---|---|
| Doing Business As | EASTSIDE FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHELE DUKE DALTON Owner 770-807-0137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010050) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-31 |