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General NPI Number Information
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NPI Number | 1083474043
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Entity Type | Organization
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Legal Business Name | WEST DRUG CO
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Dates
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Enumeration Date | 03/19/2024
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 102-04 NORTH HARRIS STREET
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City | SANDERSVILLE
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State | GA
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Zip | 31082-1736
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Country | US
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Telephone | 478-552-2521
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Fax | 478-552-3636
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Provider Business Mailing Address
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Address Line | 102 N HARRIS ST
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City | SANDERSVILLE
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State | GA
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Zip | 31082-1736
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Country | US
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Telephone | 478-552-2521
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Fax | 478-552-3636
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Authorized Official
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Title or Position | OWNER
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Name | MR. LEWIS MARK WEST JR.
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Credential |
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Telephone | 478-552-2521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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