Organization
SOUTH SIDE DRUG INC
Active
Parent organization
SOUTH SIDE DRUG INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH SIDE DRUG INC
Authorized official
MR. MARK L FRAHM RPH (VICE-PRESIDENT)
(641) 682-3467
Entity
Organization
Contact information
Practice address
337 CHURCH ST, OTTUMWA, IA 52501-4294
(641) 682-3467
(641) 682-8822
Mailing address
337 CHURCH ST, OTTUMWA, IA 52501-4294
(641) 682-3467
(641) 682-8822
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
12/20/2019
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