Healthcare Provider Details

I. General information

NPI: 1518559657
Provider Name (Legal Business Name): DEBORAH L WEST RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2021
Last Update Date: 02/10/2021
Certification Date: 02/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 ROUTE 113
SOUDERTON PA
18964-1004
US

IV. Provider business mailing address

650 E CHESTNUT ST
SOUDERTON PA
18964-1144
US

V. Phone/Fax

Practice location:
  • Phone: 215-799-2341
  • Fax: 215-799-2346
Mailing address:
  • Phone: 215-694-0473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP043921L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: