Provider Demographics
NPI:1518974856
Name:WEST, NORMAN JAMES
Entity Type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:JAMES
Last Name:WEST
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 TARA AVE
Mailing Address - Street 2:
Mailing Address - City:TAYLORS
Mailing Address - State:SC
Mailing Address - Zip Code:29687-4119
Mailing Address - Country:US
Mailing Address - Phone:864-292-3817
Mailing Address - Fax:
Practice Address - Street 1:1524 LOCUST HILL RD
Practice Address - Street 2:INGLE PHARMACY
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-6042
Practice Address - Country:US
Practice Address - Phone:864-801-3508
Practice Address - Fax:864-801-3121
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3556183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist