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Organization
SOUTH SIDE DRUG INC
Active
Organization
SOUTH SIDE DRUG INC
Active
Parent organization
SOUTH SIDE DRUG INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH SIDE DRUG INC
Authorized official
MR. MARK L FRAHM RPH (VICE-PRESIDENT)
(641) 682-3467
Entity
Organization
Contact information
Practice address
337 CHURCH ST, OTTUMWA, IA 52501-4294
(641) 682-3467
(641) 682-8822
Mailing address
337 CHURCH ST, OTTUMWA, IA 52501-4294
(641) 682-3467
(641) 682-8822
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
01/31/2019
Last updated
12/20/2019
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