Provider Demographics
NPI:1336174648
Name:WESTMORELAND, ANTHONY L (RPH)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:L
Last Name:WESTMORELAND
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 STATE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-4943
Mailing Address - Country:US
Mailing Address - Phone:812-944-6500
Mailing Address - Fax:812-944-6900
Practice Address - Street 1:1945 STATE ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4943
Practice Address - Country:US
Practice Address - Phone:812-944-6500
Practice Address - Fax:812-944-6900
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26017456A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN26017456AOtherSTATE LICENSE
KY010576OtherSTATE LICENSE