Individual
DERRICK LEE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2410 SHEILA LN, RICHMOND, VA 23225-2040
(804) 320-6991
Mailing address
11824 CHANNELMARK DR, CHESTER, VA 23836-5430
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202212308
VA
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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