NPI 1013922541
West Side Pharmacy Incorporated
Practice location
- Address
- 620 West South Street, Benton, AR 72015
- Phone
- (501) 778-3151
- Fax
- (501) 778-7329
Authorised official
- Name
- James Zackary Haley
- Title
- Pharmacist in Charge
- Phone
- (501) 517-0227
Registered specialties (5)
Community/Retail Pharmacy
Primary
Medical Specialty Clinic/Center
Pharmacy
Compounding Pharmacy
Long Term Care Pharmacy
Registry record
- NPI
- 1013922541
- Entity type
- Organization
- NPI issued
- 31 Jul 2006
- Record last updated
- 14 Dec 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.