Organization
WEST SIDE COMPOUNDING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADDISON SCHULLER PHARMD (OWNER)
(479) 216-6028
Entity
Organization
Contact information
Practice address
1525 MILITARY RD STE C, BENTON, AR 72015-2914
(501) 778-3151
Mailing address
1525 MILITARY RD STE C, BENTON, AR 72015-2914
(501) 778-3151
Taxonomy
Speciality
Code
Description
License number
State
1835C0207X
Compounded Sterile Preparations Pharmacist
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
03/13/2026
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