| NPI | 1649200932 |
|---|---|
| Doing Business As | SOUTHSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AMIT JAIN CEO 713-660-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2017-12-12 |