MEDICARE: WESTVIEW PHARMACY INC.

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	RPH008829	GA

General Provider Information

NPI Number	:	1528158318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTVIEW PHARMACY INC.

Provider Business Mailing Address
First Line	:	PO BOX 920
Second Line	:
City	:	FORT VALLEY
State	:	GA
Zip	:	31030-0920
Country	:	US
Telephone Number	:	478-825-8226
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 VINEVILLE ST
Second Line	:
City	:	FORT VALLEY
State	:	GA
Zip	:	31030-4205
Country	:	US
Telephone Number	:	478-825-8226
Fax Number	:	478-822-9003

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. HAROLD GORDON SMITH JR.
Credential	:	RPH.
Telephone Number	:	478-825-8226

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	08/22/2020

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