Organization
SOUTHSIDE DRUG COMPANY INC
Active
Other names
SOUTHSIDE DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS HEDGEPEETH BS IN PHARMACY (PRESIDENT/OWNER)
(252) 438-5128
Entity
Organization
Contact information
Practice address
1005 NICHOLAS ST, HENDERSON, NC 27536-4945
(252) 438-5128
(252) 438-5129
Mailing address
1005 NICHOLAS ST, HENDERSON, NC 27536-4945
(252) 438-5128
(252) 438-5129
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
02204
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0915033
—
NC
01
—
2067809
PK
—
Enumeration date
09/30/2006
Last updated
02/16/2015
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