Provider Demographics
NPI:1447621644
Name:WEST-END PHARMACY
Entity type:Organization
Organization Name:WEST-END PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:U
Authorized Official - Last Name:IHEKWOEME
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:530-824-4901
Mailing Address - Street 1:965 HIGHWAY 99W STE 127
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:CA
Mailing Address - Zip Code:96021-2742
Mailing Address - Country:US
Mailing Address - Phone:530-824-4901
Mailing Address - Fax:530-824-4918
Practice Address - Street 1:965 HIGHWAY 99W STE 127
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:CA
Practice Address - Zip Code:96021-2742
Practice Address - Country:US
Practice Address - Phone:530-824-4901
Practice Address - Fax:530-824-4918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-13
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA536843336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy