| NPI | 1992920805 |
|---|---|
| Doing Business As | EAST SIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL V FORNATARO Owner Pharmacist 724-658-4557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP410825L) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-11-21 |