Southside Prof Pharmacy INC
NPI #1326145160 in Bluefield, West Virginia
Provider Information
- NPI Number
- 1326145160
- Entity Type
- Organization
- Organization Name
- Southside Prof Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 1408 BLAND ST
- City
- Bluefield
- State
- West Virginia
- ZIP Code
- 24701-3746
- Phone
- (304) 327-5600
Authorized Official
- Name
- SUSIE STAUFFER
- Title
- PIC
- Phone
- (304) 327-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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