WEST SIDE PHARMACY- MILITARY ROAD LLC – NPI #1245035260
Pharmacy

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.

WEST SIDE PHARMACY- MILITARY ROAD LLC is a pharmacy located in BENTON, AR. NPPES has assigned the NPI number 1245035260 to WEST SIDE PHARMACY- MILITARY ROAD LLC on February 14, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WEST SIDE PHARMACY- MILITARY ROAD LLC below.

NPI Profile for
WEST SIDE PHARMACY- MILITARY ROAD LLC

NPI Number
1245035260
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WEST SIDE PHARMACY- MILITARY ROAD LLC
Primary location
1525 MILITARY ROAD
BENTON, AR 72015
Phone: (501) 778-3151 Fax:
Mailing address
620 W SOUTH ST
BENTON, AR 72015-4258
Phone: (501) 778-3151 Fax: (501) 778-7329
Organization Subpart
No
Authorized Official
MADDISON SCHULLER
OWNER
Phone: (501) 778-3151
Updated
Certification Date
Feb 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.