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Organization
NORTHSIDE PHARMACY
Active
Organization
NORTHSIDE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRUCE FRENCH (OWNER/PIC)
(318) 368-8340
Entity
Organization
Contact information
Practice address
201 E FRANKLIN ST, FARMERVILLE, LA 71241-2956
(318) 368-8340
(318) 368-7851
Mailing address
201 E FRANKLIN ST, FARMERVILLE, LA 71241-2956
(318) 368-8340
(318) 368-7851
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4334
LA
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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