| NPI | 1114069911 |
|---|---|
| Doing Business As | WESTSIDE COMMUNITY HEALTH SERVICES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DIRK KILLELEA Pharmacy Services Manager 651-389-2415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MN 262084) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2018-07-19 |