Organization
WEST SIDE PHARMACY, INC.
Active
Other names
West Side Clinical Services
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE TORRES (OWNER)
(501) 778-3151
Entity
Organization
Contact information
Practice address
620 W SOUTH ST, BENTON, AR 72015-4258
(501) 778-3151
(501) 778-7329
Mailing address
620 W SOUTH ST, BENTON, AR 72015-4258
(501) 778-3151
(501) 778-7329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
10/19/2020
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