NPI | 1417743634 |
---|---|
Doing Business As | SOUTHSIDE DISCOUNT PHARMACY |
Entity Type | Organization |
Authorized Contact | AHUNNA EBERECHI FREEMAN Co Owner 336-830-8774 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2025-04-15 |
Last Update Date | 2025-04-15 |