| NPI | 1750399515 |
|---|---|
| Doing Business As | WEST SIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARK HAYNES Office Manager 501-778-8062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: AR AR01745) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |