# THE OTHER SIDE HOME HEALTH EQUIPMENT AND SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003102153
- **Authorized official:** GEANA CHALIGOJ (OWNER)
- **Authorized official phone:** (573) 785-4300

## Contact information

- **Practice address:** 909 W PINE ST, POPLAR BLUFF, MO 63901-4958
- **Practice address phone:** (573) 785-4300
- **Mailing address:** 909 W PINE ST, POPLAR BLUFF, MO 63901-4958
- **Mailing address phone:** (573) 785-4300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2011
- **Last updated:** 06/27/2011
