| NPI | 1679517049 |
|---|---|
| Doing Business As | WESTSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MILES K ETTMAN Pharmacist In Charge 609-394-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00378900) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 0125164) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2008-11-08 |