Westside Pharmacy & Gifts
NPI #1063005155 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1063005155
- Entity Type
- Organization
- Organization Name
- Westside Pharmacy & Gifts
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 19, 2021
- Last Updated
- Sep 25, 2024
Practice Location
- Address
- 1653 N. COLEY RD.
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-3880
- Phone
- (662) 816-5574
Authorized Official
- Name
- JOHN RUCKER
- Title
- MEMBER/OWNER
- Phone
- (662) 346-8812
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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