| NPI | 1902946668 |
|---|---|
| Doing Business As | PHILS EASTSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAMES PHILLIP BUCK Owner 870-356-7445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR 009089) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |