Healthcare Provider Details

I. General information

NPI: 1780086892
Provider Name (Legal Business Name): MR. WESLEY SCOTT PLYLER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2014
Last Update Date: 09/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 S ARLINGTON ST
SALISBURY NC
28144-5163
US

IV. Provider business mailing address

323 S. ARLINGTON ST
SALISBURY NC
28144
US

V. Phone/Fax

Practice location:
  • Phone: 704-639-9804
  • Fax: 704-637-3536
Mailing address:
  • Phone: 704-639-9804
  • Fax: 704-637-3536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number09733
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: