| NPI | 1770035149 |
|---|---|
| Doing Business As | SOUTHSIDE PHARMACY 12 |
| Entity Type | Organization |
| Authorized Contact | HARISH KATHARANI CEO, President 713-660-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31124) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2017-03-14 |