Organization
NORTHSIDE PHARMACY, LLC
Active
Other names
Global Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY B SOUTH (OPERATIONS MANAGER)
(205) 486-3197
Entity
Organization
Contact information
Practice address
922 20TH ST, HALEYVILLE, AL 35594
(205) 486-3197
(205) 486-3198
Mailing address
922 20TH ST, HALEYVILLE, AL 35594
(205) 487-0623
(205) 486-3198
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
114269
AL
3336C0003X
Community/Retail Pharmacy
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142376
PK
—
Enumeration date
01/09/2014
Last updated
10/09/2015
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