Organization
WEST SIDE COMMUNITY HEALTH SERVICES INC
Active
Other names
WESTSIDE COMMUNITY HEALTH SERVICES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DIRK KILLELEA PHARM D (PHARMACY SERVICES MANAGER)
(651) 389-2415
Entity
Organization
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 602-7589
(651) 602-7502
Mailing address
POB 9830, SALT LAKE CITY, UT 84109-9913
(651) 602-7589
(651) 602-7502
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
262084
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048314
PK
—
05
—
836253000
—
MN
Enumeration date
02/12/2007
Last updated
09/19/2025
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