# NORTHSIDE PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Global Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902228067
- **Authorized official:** MR. JEFFREY B SOUTH (OPERATIONS MANAGER)
- **Authorized official phone:** (205) 486-3197

## Contact information

- **Practice address:** 922 20TH ST, HALEYVILLE, AL 35594
- **Practice address phone:** (205) 486-3197
- **Practice address fax:** (205) 486-3198
- **Mailing address:** 922 20TH ST, HALEYVILLE, AL 35594
- **Mailing address phone:** (205) 487-0623
- **Mailing address fax:** (205) 486-3198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 114269 | AL | — |
| 3336C0003X | Community/Retail Pharmacy | — | AL | Yes |

## Other

- **Enumeration date:** 01/09/2014
- **Last updated:** 10/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2142376 | PK | — |