WEST SIDE COMMUNITY HEALTH SERVICES INC NPI 1114069911

NPI Information

WEST SIDE COMMUNITY HEALTH SERVICES INC is a clinic pharmacy pharmacy in Saint Paul, MN. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. WEST SIDE COMMUNITY HEALTH SERVICES INC NPI is 1114069911. The provider is registered as an organization entity type.
The provider Is Doing Business As Westside Community Health Services Pharmacy.

The provider's business location address is:

153 CESAR CHAVEZ ST
SAINT PAUL, MN
ZIP 55107-226
Phone: (651) 602-7589
Fax: (651) 602-7502

The provider's authorized official is Dirk Killelea .
The authorized official title is Pharmacy Services Manager and has the following contact phone number (651) 389-2415.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 7/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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