Organization
WESTSIDE FAMILY PHARMACY INC
Active
Other names
WESTSIDE HEALTH MART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN RAGAN PHRM (OWNER, PIC)
(479) 756-3232
Entity
Organization
Contact information
Practice address
3819 W SUNSET AVE, SPRINGDALE, AR 72762-4959
(479) 756-3232
(479) 756-1217
Mailing address
3819 W SUNSET AVE, SPRINGDALE, AR 72762-4959
(479) 756-3232
(479) 756-1217
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20556
AR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163497407
—
AR
05
—
187155716
—
AR
01
—
1989788
PK
—
Enumeration date
03/23/2007
Last updated
12/22/2014
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