Provider Demographics
NPI:1215939681
Name:WESSELL, ANDREA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:
Last Name:WESSELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:652 STONO EDGE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-2743
Mailing Address - Country:US
Mailing Address - Phone:843-792-0834
Mailing Address - Fax:843-792-0436
Practice Address - Street 1:295 CALHOUN ST
Practice Address - Street 2:FM 322
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-8904
Practice Address - Country:US
Practice Address - Phone:843-792-0834
Practice Address - Fax:843-792-0436
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10329183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy