Provider Demographics
NPI:1306457346
Name:MCALHANY, WESLEY RICHARD (PHAMD)
Entity type:Individual
Prefix:
First Name:WESLEY
Middle Name:RICHARD
Last Name:MCALHANY
Suffix:
Gender:M
Credentials:PHAMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 PINEY GROVE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-3405
Mailing Address - Country:US
Mailing Address - Phone:803-875-7149
Mailing Address - Fax:
Practice Address - Street 1:507 PINEY GROVE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-3405
Practice Address - Country:US
Practice Address - Phone:803-875-7140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC42520183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist