Organization
YOUR PERSONAL PHARMACIST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK LEE WEST PHARMD (PHARMACIST)
(757) 286-2005
Entity
Organization
Contact information
Practice address
3508 BANANA LN, MIDLOTHIAN, VA 23112-3489
(757) 286-2005
Mailing address
3508 BANANA LN, MIDLOTHIAN, VA 23112-3489
(757) 286-2005
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0202212308
VA
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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