| NPI | 1255628681 |
|---|---|
| Doing Business As | NORTHSIDE FAMILY PHARMACY @ MILLBRANCH |
| Entity Type | Organization |
| Authorized Contact | ANGELA STOKES President 252-985-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 11065) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-08-11 |