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Organization
WEST SIDE COMMUNITY HEALTH SERVICES INC
Active
Organization
WEST SIDE COMMUNITY HEALTH SERVICES INC
Active
Other names
WESTSIDE COMMUNITY HEALTH SERVICES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DIRK KILLELEA PHARM D (PHARMACY SERVICES MANAGER)
(651) 389-2415
Entity
Organization
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 602-7589
(651) 602-7502
Mailing address
POB 9830, SALT LAKE CITY, UT 84109-9913
(651) 602-7589
(651) 602-7502
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
262084
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048314
PK
—
05
—
836253000
—
MN
Enumeration date
02/12/2007
Last updated
09/19/2025
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