| NPI | 1881487726 |
|---|---|
| Doing Business As | WESTSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | EDWARD ILYAICH President 813-699-3496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |