Organization
SOUTHSIDE PHARMACY INC
Active
Other names
SOUTHSIDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SALIM SARVAIYA RPH (OWNER)
(716) 487-0133
Entity
Organization
Contact information
Practice address
766 FOOTE AVE, JAMESTOWN, NY 14701-8201
(716) 487-0133
(716) 487-0233
Mailing address
766 FOOTE AVE, JAMESTOWN, NY 14701-8201
(716) 487-0133
(716) 487-0233
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027526
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02712274
—
NY
01
—
2066400
PK
—
Enumeration date
03/15/2006
Last updated
04/10/2014
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