| NPI | 1871755975 |
|---|---|
| Doing Business As | EAST SIDE FAMILY CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DEANNA GENGLER PIC 651-793-2245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MN 263192) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2015-06-22 |