| 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 |