NPI | 1982788014 |
---|---|
Doing Business As | SOUTHSIDE DRUGS |
Entity Type | Organization |
Authorized Contact | ANTHONY LAMARCA Owner 318-322-7106 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy (Licence: LA 003128) | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-10-25 |
Last Update Date | 2008-03-18 |