Organization
THE WEST CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATALYA KUSHNIR (BUSINESS OFFICE MANAGER)
(901) 322-9080
Entity
Organization
Contact information
Practice address
7945 WOLF RIVER BLVD STE 200, GERMANTOWN, TN 38138-1768
(901) 201-5470
(901) 201-5465
Mailing address
1710 SHELBY OAKS DR N, SUITE 2, MEMPHIS, TN 38134-7403
(901) 201-5470
(901) 201-5465
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
OS02363
AR
3336C0003X
Community/Retail Pharmacy
114038
AL
3336C0003X
Community/Retail Pharmacy
12015/7.1
MS
3336C0003X
Community/Retail Pharmacy
Primary
4615
TN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851530240
—
TN
01
—
2138498
PK
—
Enumeration date
02/10/2009
Last updated
06/08/2022
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