Provider Demographics
NPI:1033662382
Name:WEST, LUTHER B III (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LUTHER
Middle Name:B
Last Name:WEST
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 W CUMBERLAND ST
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-4509
Mailing Address - Country:US
Mailing Address - Phone:910-892-2189
Mailing Address - Fax:910-892-9570
Practice Address - Street 1:1721 W CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-4509
Practice Address - Country:US
Practice Address - Phone:910-892-2189
Practice Address - Fax:910-892-9570
Is Sole Proprietor?:No
Enumeration Date:2016-08-03
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25299183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist