| NPI | 1275961864 |
|---|---|
| Doing Business As | NORTHSIDE NEW CONCORD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW MADDEN Director 740-454-5666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 03212719) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2023-03-07 |