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Organization

SOUTH SIDE DRUG CO., INC.

Active
Other names
South Side Clinical Services
Organization subpart
No

Provider details

NPI number
Authorized official
DON SLOAN (PRESIDENT/OWNER)
(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
(615) 384-3546

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1150
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1455170
TN
Enumeration date
10/17/2016
Last updated
11/18/2016
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