# NORTHSIDE PHARMACY

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

## Provider details

- **NPI number:** 1629519301
- **Authorized official:** WILLIAM BRUCE FRENCH (OWNER/PIC)
- **Authorized official phone:** (318) 368-8340

## Contact information

- **Practice address:** 201 E FRANKLIN ST, FARMERVILLE, LA 71241-2956
- **Practice address phone:** (318) 368-8340
- **Practice address fax:** (318) 368-7851
- **Mailing address:** 201 E FRANKLIN ST, FARMERVILLE, LA 71241-2956
- **Mailing address phone:** (318) 368-8340
- **Mailing address fax:** (318) 368-7851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 4334 | LA | Yes |

## Other

- **Enumeration date:** 03/15/2017
- **Last updated:** 03/15/2017