| NPI | 1215988670 |
|---|---|
| Doing Business As | WESTSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DEVONNA MILLER WEST President 304-682-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0552334) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2016-04-04 |