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Organization
JIFFY WESTSIDE PHARMACY
Active
Organization
JIFFY WESTSIDE PHARMACY
Active
Other names
WESTSIDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRELL G MILBY R.PH. (OWNER/VICE PRESIDENT)
25623323307
Entity
Organization
Contact information
Practice address
1204 W MARKET ST, ATHENS, AL 35611-4769
(256) 233-2307
(256) 233-0865
Mailing address
1204 W MARKET ST, ATHENS, AL 35611-4769
(256) 233-2307
(256) 233-0865
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111507
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011470
SAV RX
AL
01
—
0114708
AETNA
AL
01
—
51060261
BC BS PHARMACY
AL
01
—
M5010 009
FIRST HEALTH DME
AL
Enumeration date
07/01/2006
Last updated
08/22/2020
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