Provider Demographics
NPI:1275364416
Name:KLEYMAN, WENDY LEE (PHARM D)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:LEE
Last Name:KLEYMAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:LEE
Other - Last Name:SPURR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:2100 N TOWNSHIP BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18640-3540
Mailing Address - Country:US
Mailing Address - Phone:570-603-0502
Mailing Address - Fax:
Practice Address - Street 1:2100 N TOWNSHIP BLVD
Practice Address - Street 2:
Practice Address - City:PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18640-3540
Practice Address - Country:US
Practice Address - Phone:570-603-0502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045652L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist