NPI 1144870957
West Side Pharmacy INC.
Practice location
- Address
- 620 W South St, Benton, AR 72015-4258
- Phone
- (501) 778-3151
- Fax
- (501) 778-7329
Authorised official
- Name
- Charles Blake Torres
- Title
- Pharmacist/Manager
- Phone
- (501) 778-3151
Registered specialties
Long Term Care Pharmacy
Primary
Registry record
- NPI
- 1144870957
- Entity type
- Organization
- NPI issued
- 13 Sep 2019
- Record last updated
- 19 Oct 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.