| NPI | 1871522029 |
|---|---|
| Doing Business As | WESTSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TERRELL G MILBY Owner/Vice President 2562-332-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 111507) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |