| NPI | 1871973966 |
|---|---|
| Doing Business As | NORTHSIDE MVHC PHARMACY |
| Former Legal Business Name | MVHC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW MADDEN Director 740-454-5666 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 022514800) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2023-03-07 |