| NPI | 1669414231 |
|---|---|
| Doing Business As | EASTSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PHILIP PARKER Manager 713-771-1767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 24365) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2009-08-27 |