| NPI | 1477429322 |
|---|---|
| Doing Business As | EAST SIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DANIEL HAYEK President 903-354-0231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2026-09-01 |