Organization
SOUTH SIDE DRUG INC
Active
Other names
SOUTH SIDE DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FRAHM RPH (VICE PRESIDENT)
(641) 682-3467
Entity
Organization
Contact information
Practice address
337 CHURCH ST, OTTUMWA, IA 52501-4212
(641) 682-3467
(641) 682-8822
Mailing address
337 CHURCH ST, OTTUMWA, IA 52501-4212
(641) 682-3467
(641) 682-8822
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
597
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052001
—
IA
01
—
2026297
PK
—
Enumeration date
07/22/2006
Last updated
09/19/2025
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