| NPI | 1366048803 |
|---|---|
| Doing Business As | THE SHOT CLINIC |
| Doing Business As | WEST SIDE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | BLAKE TORRES Owner 501-778-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2022-05-09 |