Southside Drug INC
NPI #1093720641 in South Fulton, Tennessee
Provider Information
- NPI Number
- 1093720641
- Entity Type
- Organization
- Organization Name
- Southside Drug INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 30, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 511 BROADWAY ST
- Address 2
- SOUTHERN VILLAGE S/C
- City
- South Fulton
- State
- Tennessee
- ZIP Code
- 38257-2401
- Phone
- (731) 479-2262
Authorized Official
- Name
- PHILIP ANDREWS
- Title
- OWNER
- Phone
- (731) 479-2262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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