| 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 |