| NPI | 1396750758 |
|---|---|
| Doing Business As | SOUTHSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MATT PFLEGHAAR Pharmacist In Charge 989-891-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301007773) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2016-06-13 |