Healthcare Provider Details

I. General information

NPI: 1003972100
Provider Name (Legal Business Name): JANET KAY WESTMORELAND PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 HIGHWAY 9 INGLES GROCERY STORE
INMAN SC
29349-8001
US

IV. Provider business mailing address

105 LAKE ROBINSON PT
GREER SC
29651-4937
US

V. Phone/Fax

Practice location:
  • Phone: 864-814-3643
  • Fax:
Mailing address:
  • Phone: 864-895-2776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5710
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: