Provider Demographics
NPI:1962547208
Name:WESSEL AND ASSOCIATES INC
Entity type:Organization
Organization Name:WESSEL AND ASSOCIATES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WESSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-367-5778
Mailing Address - Street 1:PO BOX 666
Mailing Address - Street 2:
Mailing Address - City:INGOMAR
Mailing Address - State:PA
Mailing Address - Zip Code:15127-0666
Mailing Address - Country:US
Mailing Address - Phone:412-367-5778
Mailing Address - Fax:412-367-0144
Practice Address - Street 1:725 WEST INGOMAR ROAD
Practice Address - Street 2:
Practice Address - City:INGOMAR
Practice Address - State:PA
Practice Address - Zip Code:15127
Practice Address - Country:US
Practice Address - Phone:412-367-5778
Practice Address - Fax:412-367-0144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
PAPP414833L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001436430Medicaid
3967619OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PA3967619OtherNCPDP
PA3967619OtherNCPDP
PA0763110001Medicare NSC
PA001436430Medicaid