MEDICARE: WEST MILL PHARMACCY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1205523990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST MILL PHARMACCY LLC

Provider Business Mailing Address
First Line	:	2006 THOMPSON RD STE 200
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-4947
Country	:	US
Telephone Number	:	281-762-1729
Fax Number	:

Provider Business Practice Location Address
First Line	:	2006 THOMPSON RD STE 200
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-4947
Country	:	US
Telephone Number	:	281-762-1729
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RICKEY JONES III
Credential	:
Telephone Number	:	281-762-1729

Provider Enumeration Date	:	04/21/2023
Last Update Date	:	09/20/2023

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Directions to “WEST MILL PHARMACCY LLC ” Practice Location

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