| NPI | 1801590237 |
|---|---|
| Other Name | WESTSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID EDWARD BRAZIL Chief Executive Officer 620-221-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2024-01-30 |