| NPI | 1578395497 |
|---|---|
| Doing Business As | WESTSIDE HEALTH CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JERAD LEE BAILEY Director Of Pharmacy Operations 681-205-8730 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-10-31 |