| NPI | 1972557171 |
|---|---|
| Doing Business As | EAST SIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN KENNEDY ROWLAND Pharmacist/Owner 573-686-7238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 5573) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 621773506) |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MO 5573) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2024-03-26 |