| NPI | 1578272258 |
|---|---|
| Doing Business As | WESTSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TASHA BLACKMON CEO 616-965-8200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| 333600000X Pharmacy | |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-02-24 |