Provider Demographics
NPI:1134718760
Name:WEST, CANDACE (RPH)
Entity type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5702 US HIGHWAY 278 E
Mailing Address - Street 2:
Mailing Address - City:HOKES BLUFF
Mailing Address - State:AL
Mailing Address - Zip Code:35903-7204
Mailing Address - Country:US
Mailing Address - Phone:256-494-1918
Mailing Address - Fax:
Practice Address - Street 1:5702 US HIGHWAY 278 E
Practice Address - Street 2:
Practice Address - City:HOKES BLUFF
Practice Address - State:AL
Practice Address - Zip Code:35903-7204
Practice Address - Country:US
Practice Address - Phone:256-494-1918
Practice Address - Fax:256-494-1925
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13667183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist