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General NPI Number Information
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NPI Number | 1689734949
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Entity Type | Organization
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Legal Business Name | WESTY'S PHARMACY, INC.
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Dates
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Enumeration Date | 12/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 113 S MAIN ST
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City | LOCKHART
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State | TX
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Zip | 78644-2740
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Country | US
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Telephone | 512-398-2114
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Fax | 512-398-2115
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Provider Business Mailing Address
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Address Line | 113 S MAIN ST
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City | LOCKHART
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State | TX
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Zip | 78644-2740
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Country | US
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Telephone | 512-398-2114
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Fax | 512-398-2115
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Authorized Official
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Title or Position | MANAGER
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Name | BRAD WESTMORELAND SR.
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Credential |
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Telephone | 512-398-2114
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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 | 00151
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License Number State | TX
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