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WEST SIDE PHARMACY INC. NPI 1144870957


NPI Information

NPI: 1144870957
Provider Name: WEST SIDE PHARMACY INC.
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 04D2153277

Address:
620 W SOUTH ST
BENTON, AR
ZIP 72015
Phone: (501) 778-3151
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WEST SIDE PHARMACY INC. is a long term care pharmacy pharmacy in Benton, AR. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. WEST SIDE PHARMACY INC. NPI is 1144870957. The provider is registered as an organization entity type.

The provider's business location address is:

620 W SOUTH ST
BENTON, AR
ZIP 72015-258
Phone: (501) 778-3151
Fax: (501) 778-7329

The provider's authorized official is Charles Blake Torres .
The authorized official title is Pharmacist/manager and has the following contact phone number (501) 778-3151.

The CLIA number assigned to this NPI record is 04D2153277 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2019 and was last updated on 10/19/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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