NPI | 1184795577 |
---|---|
Doing Business As | SOUTHSIDE DISCOUNT DRUGS |
Entity Type | Organization |
Authorized Contact | BEN BRADDY VP 478-453-7227 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE007221) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-11-10 |
Last Update Date | 2016-04-22 |