Individual
DR. MARK ELLIS WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
151 HOPPER BARKER RD, JACKSON, TN 38305-1827
(731) 664-8633
Mailing address
151 HOPPER BARKER RD, JACKSON, TN 38305-1827
(731) 664-8633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6596
TN
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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