| NPI | 1164887493 |
|---|---|
| Doing Business As | SOUTHSIDE PHARMACY 4 |
| Entity Type | Organization |
| Authorized Contact | AMIT JAIN CEO/President 713-660-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2018-05-31 |