| NPI | 1285738237 |
|---|---|
| Doing Business As | NORTH SIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT PALMER President 812-882-1064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IN 60002352A) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2011-02-07 |