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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up