Organization
WESTSIDE PHARMACY INC
Active
Other names
JAKS PUBLIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LEE GLASSFORD RPH (OWNER)
(419) 352-6423
Entity
Organization
Contact information
Practice address
970 W WOOSTER ST, SUITE #121, BOWLING GREEN, OH 43402-2643
(419) 352-6423
(419) 353-8283
Mailing address
970 W WOOSTER ST, SUITE #121, BOWLING GREEN, OH 43402-2643
(419) 352-6423
(419) 353-8283
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018104
—
OH
Enumeration date
02/20/2006
Last updated
08/22/2020
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