| NPI | 1013922541 |
|---|---|
| Doing Business As | WEST SIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAMES ZACKARY HALEY Pharmacist In Charge 501-517-0227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AR AR01745) |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-12-14 |