Organization
WEST PRESCRIPTION SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS M. WEST JR. RPH (OWNER/CHIEF PHARMACIST)
(478) 552-6111
Entity
Organization
Contact information
Practice address
514 WASHINGTON AVE, SANDERSVILLE, GA 31082-1971
(478) 552-6111
(478) 552-6113
Mailing address
514 WASHINGTON AVE, SANDERSVILLE, GA 31082-1971
(478) 552-6111
(478) 552-6113
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
PHRE004150
GA
3336C0003X
Community/Retail Pharmacy
PHRE004150
GA
335E00000X
Prosthetic/Orthotic Supplier
CF000278
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00038101A
—
GA
Enumeration date
06/18/2006
Last updated
05/08/2020
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