West Side Pharmacy- Military Road LLC
Pharmacy in Benton, AR. Organization (NPI-2).
NPI number1245035260
StatusActive
Last updated in NPPESFeb 14, 2025
Details
- NPI
- 1245035260
- Entity type
- Organization (NPI-2)
- Legal business name
- West Side Pharmacy- Military Road LLC
- Organization subpart
- No
- Enumeration date
- Feb 14, 2025
- Certification date
- Feb 10, 2025
- Last updated
- Feb 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
Practice location
1525 Military RoadBenton, AR 72015
Phone 501-778-3151
Mailing address
620 W South StBenton, AR 72015-4258
Phone 501-778-3151 · Fax 501-778-7329
Authorized official
Maddison Schuller
Owner
5017783151
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