Southside Specialty Pharmacy
NPI #1497114144 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1497114144
- Entity Type
- Organization
- Organization Name
- Southside Specialty Pharmacy
- Primary Specialty
- Pharmacy - Specialty Pharmacy
- Enumeration Date
- Feb 22, 2016
- Last Updated
- Feb 22, 2016
Practice Location
- Address
- 3416 OLD GREENWOOD RD
- Address 2
- SUITE A
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72903-5462
- Phone
- (479) 242-2888
Authorized Official
- Name
- IHAB HERRAKA
- Title
- MD/OWNER
- Phone
- (479) 242-2888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
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