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West Side Pharmacy Incorporated
Long Term Care Pharmacy in Benton, Arkansas
NPI 1013922541

West Side Pharmacy Incorporated is a Long Term Care Pharmacy based in Benton, AR and is specialized in Long Term Care Pharmacy. West Side Pharmacy Incorporated practices in Benton, AR. The NPI Number for West Side Pharmacy Incorporated is 1013922541 and holds a License No. (Arkansas).

The current practice location address for West Side Pharmacy Incorporated is 620 West South Street, Benton, AR and can be reached out via phone at 501-778-3151 and via fax at 501-778-7329. You can also correspond with West Side Pharmacy Incorporated through the mailing address at 620 WEST SOUTH STREET, BENTON, AR - 72015 (mailing address contact number: 501-778-3151).

Location: 620 West South Street, Benton, AR, 72015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013922541
Provider Name
West Side Pharmacy Incorporated
Credential
Provider Entity Type
Organization
Address
620 West South Street, Benton, AR, 72015
Phone Number
501-778-3151
Fax Number
501-778-7329
Provider Enumeration Date
07/31/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
027989700 05 AR
100097407 05 AR
0401745 01 NCPDP PROVIDER IDENTIFICATION NUMBER
200054590A 05 OK
institution
Provider Business Practice Location Address Details
Address
620 West South Street
City
Benton
State
Arkansas
Zip
72015
Phone Number
501-778-3151
Fax Number
501-778-7329
person
Provider Business Mailing Address Details
Address
620 West South Street
City
Benton
State
Arkansas
Zip
72015
Phone Number
501-778-3151
Fax Number
501-778-7329
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
AR01745 (Arkansas)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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