Provider Demographics
NPI:1922213917
Name:WEST, WILLIAM PATRICK III (PHARM D, MBA)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PATRICK
Last Name:WEST
Suffix:III
Gender:M
Credentials:PHARM D, MBA
Other - Prefix:DR
Other - First Name:BILLY
Other - Middle Name:
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D, MBA
Mailing Address - Street 1:1030 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8518
Mailing Address - Country:US
Mailing Address - Phone:205-910-3484
Mailing Address - Fax:615-591-4413
Practice Address - Street 1:1030 MARKET ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8518
Practice Address - Country:US
Practice Address - Phone:205-910-3484
Practice Address - Fax:615-591-4413
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14588183500000X
TX42969183500000X
TN20977183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist