| NPI | 1710823232 |
|---|---|
| Doing Business As | NORTHSIDE PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | TALA BUI Owner 337-232-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2026-04-27 |
| Last Update Date | 2026-04-27 |