NPI | 1558463992 |
---|---|
Doing Business As | PARKSIDE PHARMACY |
Entity Type | Organization |
Authorized Contact | LUANN ROBERTSON Owner 765-482-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60002935A) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2006-09-05 |
Last Update Date | 2022-03-28 |