Organization
SOUTH SIDE PHARMACY, INC.
Active
Organization
SOUTH SIDE PHARMACY, INC.
Active
Other names
South Side Drug Co., INC.
Organization subpart
No
Provider details
NPI number
Authorized official
IAN BRADLEY (PRESIDENT)
(615) 384-3546
Entity
Organization
Contact information
Practice address
1000 S MAIN ST, SPRINGFIELD, TN 37172-3508
(615) 384-3546
Mailing address
1000 S MAIN ST, SPRINGFIELD, TN 37172-3508
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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