Whalio Doctors

NPI 1013922541

West Side Pharmacy Incorporated

Organisation Community/Retail Pharmacy Benton, AR

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
Suppliers Taxonomy 3336C0003X Licence AR01745 (AR)
Medical Specialty Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM2500X
Pharmacy
Suppliers Taxonomy 333600000X
Compounding Pharmacy
Suppliers Taxonomy 3336C0004X
Long Term Care Pharmacy
Suppliers Taxonomy 3336L0003X

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.