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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