| NPI | 1851107288 |
|---|---|
| Doing Business As | NORTHSIDE PHARMACY.LLC |
| Entity Type | Organization |
| Authorized Contact | SHUNTELLE J ROBINSON Officer/Manager 832-940-0424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |