MEDICARE: TART AND WEST DRUGGISTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	00609	NC
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3410519	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1053326686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TART AND WEST DRUGGISTS

Provider Business Mailing Address
First Line	:	PO BOX 250
Second Line	:
City	:	ROSEBORO
State	:	NC
Zip	:	28382-0250
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 ROSEBORO ST
Second Line	:
City	:	ROSEBORO
State	:	NC
Zip	:	28382
Country	:	US
Telephone Number	:	910-525-5333
Fax Number	:	910-525-4862

Authorized Official
Title or Position	:	OWNER
Name	:	THOMAS WEST
Credential	:	RPH
Telephone Number	:	910-525-5734

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	09/11/2025

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Directions to “TART AND WEST DRUGGISTS ” Practice Location

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