Organization
NORTHSIDE FAMILY PHARMACY INC
Active
Other names
NORTHSIDE FAMILY PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA STOKES PHARMD (PRESIDENT)
(252) 985-4263
Entity
Organization
Contact information
Practice address
3920 BISHOP RD, BATTLEBORO, NC 27809-9038
(252) 985-4263
(252) 985-1259
Mailing address
3920 BISHOP RD, BATTLEBORO, NC 27809-9038
(252) 985-4263
(252) 985-1259
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
09197
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2065486
PK
—
Enumeration date
07/25/2006
Last updated
02/16/2017
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