| NPI | 1245209956 |
|---|---|
| Doing Business As | SOUTHSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SALIM SARVAIYA Owner 716-487-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 027526) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2014-04-10 |