| NPI | 1922034644 |
|---|---|
| Doing Business As | NORTHSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HALINA JOSEPHINE JANKOWSKI Rph 718-387-6566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 023754) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2022-09-13 |