MEDICARE: WEST POINT PHARMACY

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	PHRE008568	GA

General Provider Information

NPI Number	:	1871528372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST POINT PHARMACY

Provider Business Mailing Address
First Line	:	721 3RD AVE
Second Line	:
City	:	WEST POINT
State	:	GA
Zip	:	31833-1527
Country	:	US
Telephone Number	:	706-643-3003
Fax Number	:	706-643-3004

Provider Business Practice Location Address
First Line	:	721 3RD AVE
Second Line	:
City	:	WEST POINT
State	:	GA
Zip	:	31833-1527
Country	:	US
Telephone Number	:	706-643-3003
Fax Number	:	706-643-3004

Authorized Official
Title or Position	:	OWNER/PHARMACIST
Name	:	MR. PERRY P PRATHER
Credential	:	PHD
Telephone Number	:	706-643-3003

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	03/28/2008

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Directions to “WEST POINT PHARMACY ” Practice Location

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