| Westside Pharmacy | |
|
669 Stocking Ave Nw Grand Rapids MI 49504-5176 | |
| (616) 776-2226 | |
| Not Available |
| Full Name | Westside Pharmacy |
|---|---|
| Speciality | Pharmacy - Community/retail Pharmacy |
| Location | 669 Stocking Ave Nw, Grand Rapids, Michigan |
| Authorized Official Name and Position | Tasha Blackmon (CEO) |
| Authorized Official Contact | 6169658200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Pharmacy 669 Stocking Ave Nw Grand Rapids MI 49504-5176 Ph: () - | Westside Pharmacy 669 Stocking Ave Nw Grand Rapids MI 49504-5176 Ph: (616) 776-2226 |
| NPI Number | 1578272258 |
|---|---|
| Provider Enumeration Date | 11/21/2022 |
| Last Update Date | 02/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578272258 | NPI | - | NPPES |
| 5301013082 | Other | MI | PHARMACY LICENSE |
| 5315237894 | Other | MI | CONTROLLED SUBSTANCE LICENSE |
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