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Organization
WESTSIDE PHARMACY INC
Active
Organization
WESTSIDE PHARMACY INC
Active
Other names
JAKS PUBLIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LEE GLASSFORD RPH (OWNER)
(419) 352-6423
Entity
Organization
Contact information
Practice address
970 W WOOSTER ST, SUITE #121, BOWLING GREEN, OH 43402-2643
(419) 352-6423
(419) 353-8283
Mailing address
970 W WOOSTER ST, SUITE #121, BOWLING GREEN, OH 43402-2643
(419) 352-6423
(419) 353-8283
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018104
—
OH
Enumeration date
02/20/2006
Last updated
08/22/2020
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