| NPI | 1992105472 |
|---|---|
| Doing Business As | SOUTHSIDE PHARMACY OF LORAIN INC |
| Entity Type | Organization |
| Authorized Contact | NASER TAHER Owner 440-277-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 022447550) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-12-30 |