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Contact Information

WESTSIDE PHARMACY INC
RT 10 COOK PKWY AND LOGAN ST
OCEANA, WV24870
 Phone: 304-682-0444
 Fax: 304-682-0447
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WESTSIDE PHARMACY INC

NPI Number 1215988670
LBN Legal business name WESTSIDE PHARMACY INC
Authorized official DEVONNA MILLER WEST - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2006
Last updated 04/04/2016 - About 10 years ago
Identifiers
WV License # SP0552334
WV Medicaid 3810005541
Other 2111580 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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