| NPI | 1376955914 |
|---|---|
| Doing Business As | NORTHSIDE HOME INFUSION |
| Entity Type | Organization |
| Authorized Contact | ROD STICKRATH Director 740-454-5666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OH 021068550) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |