NPI | 1710304043 |
---|---|
Doing Business As | WESTSIDE PHARMACY |
Entity Type | Organization |
Authorized Contact | KRISTEN GODFREY ERICKSON Owner 541-514-1981 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2014-03-25 |
Last Update Date | 2023-08-02 |