Westside Health Mart Pharmacy
LBN: Westside Family Pharmacy Inc
Westside Health Mart Pharmacy is an health care organization with primary practice located at 3819 W Sunset Ave , Springdale AR 72762-4959. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Westside Family Pharmacy Inc can be contacted via phone (479) 756-3232, or through Ragan, Jonathan via phone (479) 756-3232.
Contact Information
Primary practice address
3819 W Sunset Ave
Springdale AR 72762-4959
Phone: (479) 756-3232
Fax: (479) 756-1217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR20556 | Arkansas |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1386761757 |
|---|---|
| LBN Legal business name | Westside Family Pharmacy Inc |
| DBA Doing business as | Westside Health Mart Pharmacy |
| Authorized official | Ragan, Jonathan PHRM |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Dec 22nd, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386761757 | NPPES |
| Arkansas | MEDICAID | 187155716 | |
| Arkansas | Other | 1989788 | |
| Arkansas | MEDICAID | 163497407 |
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