Organization
WEST END RX
Active
Other names
West End Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVIN PATEL (OWNER)
(770) 606-0697
Entity
Organization
Contact information
Practice address
824 WEST AVE, CARTERSVILLE, GA 30120-6100
(770) 606-0697
(770) 606-0695
Mailing address
824 WEST AVE, CARTERSVILLE, GA 30120-6100
(770) 606-0697
(770) 606-0695
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009636
GA
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124441
PK
—
05
—
785683711A
—
GA
Enumeration date
03/30/2010
Last updated
02/23/2017
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