Northside Pharmacy, Inc.

NPI #1093860280 in Macon, Georgia

Provider Information

NPI Number: 1093860280
Entity Type: Organization
Organization Name: Northside Pharmacy, Inc.
Primary Specialty: Pharmacist
Enumeration Date: Jan 25, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 440 CHARTER BLVD
Address 2: SUITE 1107
City: Macon
State: Georgia
ZIP Code: 31210-4857
Phone: (478) 474-6767

Authorized Official

Name: RICKI A OLIVER
Title: OWNER
Phone: (478) 474-6767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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