Organization
WESTSIDE DRUG INC
Active
Parent organization
WESTSIDE DRUG INC
Other names
HOSPITAL DISCOUNT DRUGS
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTSIDE DRUG INC
Authorized official
JENNIFER DIANNE CARTER RN (MANAGER)
(912) 384-3057
Entity
Organization
Contact information
Practice address
308 WESTSIDE DR, DOUGLAS, GA 31533-3530
(912) 384-3057
(912) 383-8428
Mailing address
308 WESTSIDE DR, DOUGLAS, GA 31533-3530
(912) 384-3057
(912) 383-8428
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000135154B
—
GA
Enumeration date
11/09/2005
Last updated
03/04/2009
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