Provider Demographics
NPI:1912382334
Name:WEST, SANDREA (CPHT)
Entity Type:Individual
Prefix:
First Name:SANDREA
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5828 PIERSON ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-4753
Mailing Address - Country:US
Mailing Address - Phone:303-594-8856
Mailing Address - Fax:
Practice Address - Street 1:5828 PIERSON ST
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-4753
Practice Address - Country:US
Practice Address - Phone:303-594-8856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician