Provider Demographics
NPI:1558971747
Name:WEST, TERI (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TERI
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7703 KINGSPOINTE PKWY STE 500
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-8583
Mailing Address - Country:US
Mailing Address - Phone:407-244-9280
Mailing Address - Fax:
Practice Address - Street 1:7703 KINGSPOINTE PKWY STE 500
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8583
Practice Address - Country:US
Practice Address - Phone:407-244-9280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46593183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist