Healthcare Provider Details

I. General information

NPI: 1457397259
Provider Name (Legal Business Name): WESTMORELAND PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 05/17/2023
Certification Date: 05/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 STATE ST STE 100
NEW ALBANY IN
47150
US

IV. Provider business mailing address

1945 STATE ST STE 100
NEW ALBANY IN
47150-4919
US

V. Phone/Fax

Practice location:
  • Phone: 812-944-6500
  • Fax: 812-944-6900
Mailing address:
  • Phone: 812-944-6500
  • Fax: 812-944-6900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberIN1267
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2012025449
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number054.016721
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number60005924A
License Number StateIN

VIII. Authorized Official

Name: ANTHONY WESTMORELAND
Title or Position: PRESIDENT/CEO
Credential: RPH
Phone: 502-298-9085