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Organization
WEST SIDE PHARMACY INC.
Active
Organization
WEST SIDE PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BLAKE TORRES (PHARMACIST/MANAGER)
(501) 778-3151
Entity
Organization
Contact information
Practice address
620 W SOUTH ST, BENTON, AR 72015-4258
(501) 778-3151
(501) 778-7329
Mailing address
620 W SOUTH ST, BENTON, AR 72015-4258
(501) 778-3151
(501) 778-7329
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
09/13/2019
Last updated
10/19/2020
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