Provider Demographics
NPI:1629552385
Name:WEST POINT PHARMACY
Entity Type:Organization
Organization Name:WEST POINT PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAUCHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:480-363-6289
Mailing Address - Street 1:3491 W 300 N
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:UT
Mailing Address - Zip Code:84015-7433
Mailing Address - Country:US
Mailing Address - Phone:480-363-6289
Mailing Address - Fax:
Practice Address - Street 1:3024 W 300 N STE D
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:UT
Practice Address - Zip Code:84015-7259
Practice Address - Country:US
Practice Address - Phone:480-363-6289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy