Provider Demographics
NPI:1821263054
Name:WESTFALL, SLOAN VALENCINO (BS, PHARMACY)
Entity Type:Individual
Prefix:MRS
First Name:SLOAN
Middle Name:VALENCINO
Last Name:WESTFALL
Suffix:
Gender:F
Credentials:BS, PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 MACARTHUR PLACE COURT
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609
Mailing Address - Country:US
Mailing Address - Phone:251-344-3672
Mailing Address - Fax:
Practice Address - Street 1:6800 AIRPORT BOULEVARD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608
Practice Address - Country:US
Practice Address - Phone:251-380-3188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000214183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist