Organization
HDK ENTERPRISES LLC
Active
Other names
SOUTHSIDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FETCENKO (COO-OFFICER)
(832) 553-1301
Entity
Organization
Contact information
Practice address
6330 WEST LOOP SOUTH, STE 700 D, BELLAIRE, TX 77401-2928
(713) 660-8888
(713) 661-4828
Mailing address
6330 WEST LOOP SOUTH, STE 700, BELLAIRE, TX 77401-2928
(713) 660-8888
(713) 661-4828
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25057
TX
Other
Enumeration date
12/13/2006
Last updated
07/26/2021
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