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Organization

WESTMORELAND PHARMACY, INC.

Active
Other names
Westmoreland Pharmacy Jeffersonville
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY WESTMORELAND RPH (PRESIDENT/CEO)
(502) 298-9058
Entity
Organization

Contact information

Practice address
1495 EAST 10TH STREET., JEFFERSONVILLE, IN 47130
(812) 284-6500
(812) 284-6500
Mailing address
1495 EAST 10TH STREET., JEFFERSONVILLE, IN 47130
(812) 284-6500
(812) 284-6500

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
60006320A
IN
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1564295
NCPDP PROVIDER IDENTIFICATION NUMBER
05
201136900A
IN
01
60006320A
INDIANA STATE LICENSE
IN
05
7100232260
KY
Enumeration date
11/26/2012
Last updated
05/17/2023
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