Westside Pharmacy & Gifts
Pharmacy, Community/Retail Pharmacy in Tupelo, MS. Organization (NPI-2).
NPI number1063005155
StatusActive
Last updated in NPPESSep 25, 2024
Details
- NPI
- 1063005155
- Entity type
- Organization (NPI-2)
- Legal business name
- Westside Pharmacy & Gifts
- Organization subpart
- No
- Enumeration date
- Feb 19, 2021
- Certification date
- Sep 25, 2024
- Last updated
- Sep 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – |
Practice location
1653 N. Coley Rd.Tupelo, MS 38801-3880
Phone 662-816-5574
Mailing address
1653 N Coley RdTupelo, MS 38801-6931
Phone 662-346-8812 · Fax 662-553-4165
Authorized official
John Rucker
Member/Owner
6623468812
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All 17 Community/Retail Pharmacy providers in Tupelo · All 2,880 providers in Tupelo
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