| NPI | 1386761757 |
|---|---|
| Doing Business As | WESTSIDE HEALTH MART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JONATHAN RAGAN Owner, PIC 479-756-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20556) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2014-12-22 |