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Organization
WEST SIDE PHARMACY, INC.
Active
Organization
WEST SIDE PHARMACY, INC.
Active
Other names
West Side Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HAYNES (OFFICE MANAGER)
(501) 778-8062
Entity
Organization
Contact information
Practice address
620 W SOUTH ST STE C, BENTON, AR 72015-4235
(501) 778-3151
(501) 778-7329
Mailing address
620 W SOUTH ST STE C, BENTON, AR 72015-4235
(501) 778-3151
(501) 778-7329
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
AR01745
AR
Other
Enumeration date
08/04/2006
Last updated
08/22/2020
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