| NPI | 1811084015 |
|---|---|
| Doing Business As | SOUTHSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AARON R. FRANCK Owner Pharmacist 715-845-3713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 8252042) |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2009-04-30 |