| NPI | 1184713414 |
|---|---|
| Doing Business As | MIKE'S SOUTHSIDE PHARYMACY |
| Entity Type | Organization |
| Authorized Contact | MICHEAL LYNN PITZING President/Pharmacist 334-794-3174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 112316) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2021-10-14 |