Jaks Public Pharmacy

LBN: Westside Pharmacy Inc
Jaks Public Pharmacy is an health care organization with primary practice located at 970 W Wooster St Suite #121, Bowling Green OH 43402-2643. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Westside Pharmacy Inc can be contacted via phone (419) 352-6423, or through Glassford, James Lee via phone (419) 352-6423.

Contact Information

Primary practice address
970 W Wooster St Suite #121 Bowling Green OH 43402-2643
Phone: (419) 352-6423
Fax: (419) 353-8283
Website:
Map and Directions
Authorized official contact:
Name: Glassford, James Lee RPH
Phone: (419) 352-6423

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X Ohio

Profile Details

NPI number 1013982446
LBN Legal business name Westside Pharmacy Inc
DBA Doing business as Jaks Public Pharmacy
Authorized official Glassford, James Lee RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2006
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013982446 NPPES
Ohio MEDICAID 2018104

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