| NPI | 1346346640 |
|---|---|
| Doing Business As | NORTHSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT JOLLIE HITCHCOCK Owner/Pharmacist 843-449-3325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 5002435) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |