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Organization
WESTSIDE PHARMACY & GIFTS
Active
Organization
WESTSIDE PHARMACY & GIFTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RUCKER (MEMBER/OWNER)
(662) 346-8812
Entity
Organization
Contact information
Practice address
1653 N. COLEY RD., TUPELO, MS 38801-3880
(662) 816-5574
Mailing address
1653 N COLEY RD, TUPELO, MS 38801-6931
(662) 346-8812
(662) 553-4165
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
02/19/2021
Last updated
09/25/2024
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