| NPI | 1548911498 |
|---|---|
| Doing Business As | SOUTH SIDE DRUG CO., INC. |
| Entity Type | Organization |
| Authorized Contact | IAN BRADLEY President 615-384-3546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |