# WESTSIDE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Westside Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710304043
- **Authorized official:** KRISTEN GODFREY ERICKSON (OWNER)
- **Authorized official phone:** (541) 514-1981

## Contact information

- **Practice address:** 359 SW CENTURY DR, BEND, OR 97702-1054
- **Practice address phone:** (541) 323-3777
- **Practice address fax:** (541) 706-9178
- **Mailing address:** 359 SW CENTURY DR, BEND, OR 97702-1054
- **Mailing address phone:** (541) 323-3777
- **Mailing address fax:** (541) 706-9178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/25/2014
- **Last updated:** 08/02/2023