Organization
WESTSIDE DRUGS INC
Active
Other names
HOSPITAL DISCOUNT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY CARTER RPH (OWNER)
(912) 384-0693
Entity
Organization
Contact information
Practice address
308 WESTSIDE DR, DOUGLAS, GA 31533-3530
(912) 384-0693
(912) 383-8428
Mailing address
308 WESTSIDE DR, DOUGLAS, GA 31533-3530
(912) 384-0693
(912) 383-8428
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005434
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00135154A
—
GA
01
—
2013747
PK
—
Enumeration date
01/23/2007
Last updated
12/01/2016
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