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General NPI Number Information
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NPI Number | 1376659458
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Entity Type | Organization
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Legal Business Name | WEST PHARMACY, LLC
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2012 ELECTRIC RD
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City | ROANOKE
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State | VA
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Zip | 24018-1938
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Country | US
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Telephone | 540-774-5500
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Fax | 540-774-7080
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Provider Business Mailing Address
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Address Line | 2012 ELECTRIC RD
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City | ROANOKE
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State | VA
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Zip | 24018-1938
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Country | US
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Telephone | 540-774-5500
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Fax | 540-774-7080
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHARLES MITCHELL WEST II
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Credential | R.PH.
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Telephone | 540-774-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0201003941
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License Number State | VA
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