| NPI | 1235283573 |
|---|---|
| Doing Business As | WESTSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BHAUMIK THAKER Member, LLC 609-394-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 28RS00662600) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2022-06-10 |