| NPI | 1871737304 |
|---|---|
| Doing Business As | NORTHSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID AYRES President,PIC, AO 410-398-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P06260) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2016-12-01 |