| NPI | 1396041802 |
|---|---|
| Doing Business As | SOUTHSIDE PHARMACY II |
| Entity Type | Organization |
| Authorized Contact | AMIT JAIN CEO 713-660-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27315) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2019-04-04 |