Organization
SOUTH SIDE DRUGS INC
Active
Other names
SOUTH SIDE DRUGS INC
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON HORN (SP)
(718) 782-7200
Entity
Organization
Contact information
Practice address
432 BEDFORD AVE, BROOKLYN, NY 11249-6588
(718) 782-7200
(718) 782-7211
Mailing address
432 BEDFORD AVE, BROOKLYN, NY 11249-6588
(718) 782-7200
(718) 782-7211
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028892
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2070591
PK
—
05
—
2987108
—
NY
Enumeration date
06/03/2008
Last updated
10/30/2014
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