Northside Pharmacy, Inc.

NPI 1093860280 - Pharmacist - 183500000X

NPI Details
NPI 1093860280
Enumeration Date 01/25/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICKI A RICKI
Position OWNER
Phone (478) 474-6767
Fax
Practice Location
440 CHARTER BLVD
SUITE 1107
MACON GA, 31210-4857, US
Phone (478) 474-6767
Fax
Business Location
440 CHARTER BLVD
SUITE 1107
MACON GA, 31210-4857, US
Phone (478) 474-6767
Fax
Toxanomy
Taxonomy Code 183500000X
License State Georgia
License Number 006380
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According to our database, Northside Pharmacy, Inc. NPI is 1093860280, taxonomy code is 183500000X and license number is 006380, license state is located at Georgia. Northside Pharmacy, Inc. physically located at 440 Charter Blvd, Macon GA, 31210-4857. NPI Number 1033115704 has the healthcare provider type.

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1093860280 NPI number is provided on an as is basis without warranty of any kind. 1093860280 is maintained by the National Plan & Provider Enumeration System. The contents of Northside Pharmacy, Inc. are for informational purposes only.