MEDICARE: DR. MICHAEL BLAIR WEST PHARMD

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	183500000X	Pharmacist	35770	SC

General Provider Information

NPI Number	:	1275933640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL BLAIR WEST PHARMD

Provider Business Mailing Address
First Line	:	6057 WHITE HORSE RD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29611-3842
Country	:	US
Telephone Number	:	864-295-0243
Fax Number	:	864-295-1959

Provider Business Practice Location Address
First Line	:	109 W MANNING ST
Second Line	:
City	:	CHESNEE
State	:	SC
Zip	:	29323-1538
Country	:	US
Telephone Number	:	864-461-3123
Fax Number	:	864-703-2943

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2014
Last Update Date	:	08/01/2025

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