Organization
NORTH SIDE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES EDWARD PETKOVSEK (MANNGER)
(972) 542-4481
Entity
Organization
Contact information
Practice address
1601 W UNIVERSITY DR, MCKINNEY, TX 75069-3445
(972) 542-4481
(972) 542-3709
Mailing address
1601 W UNIVERSITY DR, MCKINNEY, TX 75069-3445
(972) 542-4481
(972) 542-3709
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
01911
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4511829
PHARMACY NABP
TX
Enumeration date
01/15/2007
Last updated
09/11/2025
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