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Organization
WEST END ASSOCIATES, INC.
Active
Organization
WEST END ASSOCIATES, INC.
Active
Other names
Soo's West End Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY DON MOONEYHAM PHARM.D. (PHARMACIST-IN-CHARGE)
(870) 932-4742
Entity
Organization
Contact information
Practice address
619 W NETTLETON AVE, JONESBORO, AR 72401-3970
(870) 932-4742
(870) 931-0311
Mailing address
619 W NETTLETON AVE, JONESBORO, AR 72401-3970
(870) 932-4742
(870) 931-0311
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198278407
—
AR
Enumeration date
01/16/2024
Last updated
01/16/2024
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