Organization
WEST SIDE PHARMACY, INC.
Active
Other names
West Side Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HAYNES (OFFICE MANAGER)
(501) 778-8062
Entity
Organization
Contact information
Practice address
620 W SOUTH ST STE C, BENTON, AR 72015-4235
(501) 778-3151
(501) 778-7329
Mailing address
620 W SOUTH ST STE C, BENTON, AR 72015-4235
(501) 778-3151
(501) 778-7329
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
AR01745
AR
Other
Enumeration date
08/04/2006
Last updated
08/22/2020
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