Provider Demographics
NPI:1427281260
Name:NASH, WENDY CLARY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:CLARY
Last Name:NASH
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 1:298 MALLARD DRIVE
Mailing Address - Street 2:
Mailing Address - City:VALENTINES
Mailing Address - State:VA
Mailing Address - Zip Code:23887-9717
Mailing Address - Country:US
Mailing Address - Phone:434-577-2655
Mailing Address - Fax:
Practice Address - Street 1:125 BUENA VISTA CIR
Practice Address - Street 2:
Practice Address - City:SOUTH HILL
Practice Address - State:VA
Practice Address - Zip Code:23970-1431
Practice Address - Country:US
Practice Address - Phone:434-447-3151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02020062091835P0018X
NC074801835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist