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Organization
SOUTH SIDE DRUG CO., INC.
Active
Organization
SOUTH SIDE DRUG CO., INC.
Active
Other names
South Side Clinical Services
Organization subpart
No
Provider details
NPI number
Authorized official
DON SLOAN (PRESIDENT/OWNER)
(615) 384-3546
Entity
Organization
Contact information
Practice address
1000 S MAIN ST, SPRINGFIELD, TN 37172-3508
(615) 384-3546
Mailing address
1000 S MAIN ST, SPRINGFIELD, TN 37172-3508
(615) 384-3546
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1150
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455170
—
TN
Enumeration date
10/17/2016
Last updated
11/18/2016
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