Organization · Type 2 NPI

Southside Pharmacy LLC

Community/Retail Pharmacy · Conway, SC

NPI number 1104186212 Active

Practice location

3320 4th Ave Ste F
Conway, SC 29527-6057

Fax (843) 248-6553

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	13996 (SC)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

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About NPI 1104186212

Southside Pharmacy LLC's National Provider Identifier is 1104186212, issued on May 22, 2012. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Conway, SC. The record was last updated on Jan 17, 2014.