Organization
MICHAEL WEST
Active
Other names
SUPER DISCOUNT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WEST (OWNER AND PHARMACIST)
(931) 839-7005
Entity
Organization
Contact information
Practice address
201 N ELMORE ST STE F, MONTEREY, TN 38574-1260
(931) 839-7005
(931) 839-7507
Mailing address
201 N ELMORE ST STE F, MONTEREY, TN 38574-1260
(931) 839-7005
(931) 839-7507
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3172
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4430790
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
4430790
—
TN
Enumeration date
02/16/2007
Last updated
09/16/2010
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