National Provider Identifier Database

ST ANTHONY WESTSIDE PHARMACY
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

ST ANTHONY WESTSIDE PHARMACY
235 HIGHWAY 30
WESTSIDE, IA51467
Phone: 712-663-4373
Fax: 712-663-4370
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for ST ANTHONY WESTSIDE PHARMACY

NPI Number 1770656860
Legal business name
LBN
ST ANTHONY WESTSIDE PHARMACY
Authorized official GARY RIEDMANN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/16/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IA License #: 1067
  • IA Medicaid: 0189316

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ST ANTHONY WESTSIDE PHARMACY

There are currently no reviews for ST ANTHONY WESTSIDE PHARMACY


NPIdb - Home
v2.201