NPI | 1457749590 |
---|---|
Doing Business As | SOUTHSIDE PHARMACY 9 |
Entity Type | Organization |
Authorized Contact | AMIT JAIN CEO 832-813-5296 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 29706) |
Enumeration Date | 2014-12-23 |
Last Update Date | 2017-12-12 |