Healthcare Provider Details

I. General information

NPI: 1710272059
Provider Name (Legal Business Name): CYNTHIA ANN WESLING RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2011
Last Update Date: 06/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 SIEMERS DR
CAPE GIRARDEAU MO
63701-8419
US

IV. Provider business mailing address

2092 MADISON 431
ANNAPOLIS MO
63620-8753
US

V. Phone/Fax

Practice location:
  • Phone: 573-334-6578
  • Fax: 573-334-6578
Mailing address:
  • Phone: 573-783-3060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number041034
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: