Organization
WEST END ASSOCIATES, INCORPORATED
Active
Other names
Soo's West End Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRYSTAL STORM SOO P.D. (PRESIDENT)
(870) 932-6930
Entity
Organization
Contact information
Practice address
619 W NETTLETON AVE, JONESBORO, AR 72401-3970
(870) 932-4742
(870) 932-0311
Mailing address
619 W NETTLETON AVE, JONESBORO, AR 72401-3970
(870) 932-4742
(870) 932-0311
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
AR20714
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198278407
—
AR
Enumeration date
04/15/2014
Last updated
04/15/2014
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