Organization
WEST END PHARMACY
Active
Other names
West End Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MCCARTY (OWNER/PRESIDENT)
(276) 926-6890
Entity
Organization
Contact information
Practice address
340 COLLEY SHOPPING CTR, CLINTWOOD, VA 24228-5756
(276) 926-6890
(276) 926-6893
Mailing address
340 COLLEY SHOPPING CTR, CLINTWOOD, VA 24228-5756
(276) 926-6890
(276) 926-6893
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201004339
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770802480
—
VA
01
—
4842274
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/19/2010
Last updated
10/19/2012
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