National Provider Identifier Database

WESTSIDE PHARMACY INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

WESTSIDE PHARMACY, INC
632 N DIBBLE BVD
LANSING, MI48917
Phone: 517-323-2382
Fax: 517-323-0459
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for WESTSIDE PHARMACY, INC

NPI Number 1346242666
Legal business name
LBN
WESTSIDE PHARMACY, INC
Authorized official GREGORY BOVEE - (PRESIDENT/TREASURER)
Entity Organization
Organization subpart No
Enumeration date 06/01/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 5301005171
  • Other: 2317849 NCPDP

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.

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