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 |