Westside Pharmacy

LBN: Cherry Street Services, Inc
Westside Pharmacy is an health care organization with primary practice located at 669 Stocking Ave Nw , Grand Rapids MI 49504-5176. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Cherry Street Services, Inc can be contacted via phone (616) 776-2226, or through Blackmon, Tasha via phone (616) 965-8200.

Contact Information

Primary practice address
669 Stocking Ave Nw Grand Rapids MI 49504-5176
Phone: (616) 776-2226
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blackmon, Tasha
Phone: (616) 965-8200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1578272258
LBN Legal business name Cherry Street Services, Inc
DBA Doing business as Westside Pharmacy
Authorized official Blackmon, Tasha
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 21st, 2022
Last updated Feb 24th, 2023 - about 3 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 1578272258 NPPES
Michigan Other 5301013082 PHARMACY LICENSE
Michigan Other 5315237894 PHARMACY LICENSE

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