| NPI | 1235222662 |
|---|---|
| Doing Business As | SOUTHSIDE DRUG COMPANY |
| Entity Type | Organization |
| Authorized Contact | MORRIS HEDGEPEETH President/Owner 252-438-5128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 02204) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2015-02-16 |