MEDICARE: EDWARD WEST PHARMACIST

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	34286	TX

General Provider Information

NPI Number	:	1881281442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD WEST PHARMACIST

Provider Business Mailing Address
First Line	:	PO BOX 844
Second Line	:
City	:	HILLSBORO
State	:	TX
Zip	:	76645-0844
Country	:	US
Telephone Number	:	254-582-5363
Fax Number	:	254-582-7429

Provider Business Practice Location Address
First Line	:	101 JANE LN
Second Line	:
City	:	HILLSBORO
State	:	TX
Zip	:	76645-2673
Country	:	US
Telephone Number	:	254-582-5363
Fax Number	:	254-582-7429

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

Provider Enumeration Date	:	12/29/2020
Last Update Date	:	12/29/2020

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Directions to “ EDWARD WEST PHARMACIST” Practice Location

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