Type 2 organization · NPI 1013922541
WEST SIDE PHARMACY INCORPORATED
3336C0003X · BENTON, AR
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 3336C0003X | 3336C0003X | Primary |
| 261QM2500X | 261QM2500X | Additional |
| 333600000X | 333600000X | Additional |
| 3336C0004X | 3336C0004X | Additional |
| 3336L0003X | 3336L0003X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s