Organization
EASTSIDE PHARMACY INC
Active
Organization
EASTSIDE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHOK ROGER ALAY RPH (OWNER)
(423) 386-5066
Entity
Organization
Contact information
Practice address
6857 LEE HWY, CHATTANOOGA, TN 37421-6406
(423) 386-5066
(423) 386-5056
Mailing address
9711 SHADOW VALLEY CIR, CHATTANOOGA, TN 37421-5381
(423) 386-5066
(423) 443-4297
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/18/2010
Last updated
04/11/2018
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