SUSAN DIANE WEST

RUSSELLVILLE, KY
NPI1336140532
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1835P1200X Pharmacist, Pharmacotherapy
(Licence: KY  7104)
Additional Taxonomies1835P1200X Pharmacist, Pharmacotherapy
(Licence: IN  26091584A)
1835P1200X Pharmacist, Pharmacotherapy
(Licence: TN  9215)
Enumeration Date2005-08-10
Last Update Date2007-07-08
Business Address
-- SUSAN DIANE WEST PharmD
990 SPORTSMAN CLUB LN
RUSSELLVILLE, KY 42276-9256
Phone number: 270-726-9010
Mailing Address
-- SUSAN DIANE WEST PharmD
990 SPORTSMAN CLUB LN
RUSSELLVILLE, KY 42276-9256
Phone number: 270-726-9010