NPI 1063005155
Westside Pharmacy & Gifts
Practice location
- Address
- 1653 N. Coley Rd., Tupelo, MS 38801-3880
- Phone
- (662) 816-5574
- Mailing address
- 1653 N Coley Rd, Tupelo, MS 38801-6931
Authorised official
- Name
- John Rucker
- Title
- Member/Owner
- Phone
- (662) 346-8812
Registered specialties (2)
Community/Retail Pharmacy
Primary
Pharmacy
Registry record
- NPI
- 1063005155
- Entity type
- Organization
- NPI issued
- 19 Feb 2021
- Record last updated
- 25 Sep 2024
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.