# NORTHSIDE PHARMACY GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hays Pharmacy and Compounding Lab \#2
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871780270
- **Authorized official:** BEAL MARL HALBROOK PHARM. D. (VICE-PRESIDENT)
- **Authorized official phone:** (229) 436-2985

## Contact information

- **Practice address:** 2007 GILLIONVILLE RD, ALBANY, GA 31707-3139
- **Practice address phone:** (229) 436-2985
- **Practice address fax:** (229) 436-2987
- **Mailing address:** 2007 GILLIONVILLE RD, ALBANY, GA 31707-3139
- **Mailing address phone:** (229) 436-2985
- **Mailing address fax:** (229) 436-2987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PENDING | GA | Yes |

## Other

- **Enumeration date:** 09/29/2007
- **Last updated:** 06/20/2008