Provider Demographics
NPI:1386798494
Name:TERESI, WENDY MORGAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:MORGAN
Last Name:TERESI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:LEE
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, CSP
Mailing Address - Street 1:1044 COLE CIR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-4926
Mailing Address - Country:US
Mailing Address - Phone:205-980-8338
Mailing Address - Fax:
Practice Address - Street 1:1100 LEE BRANCH LN
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-7298
Practice Address - Country:US
Practice Address - Phone:205-995-8388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST-13752183500000X
VA0202212585183500000X
WVRP0008922183500000X
AL13534183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist