Healthcare Provider Details

I. General information

NPI: 1346844966
Provider Name (Legal Business Name): TESSA L WEHRI PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2020
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 N MAIN ST
CELINA OH
45822-1047
US

IV. Provider business mailing address

18488 ROAD N18
FORT JENNINGS OH
45844-9703
US

V. Phone/Fax

Practice location:
  • Phone: 419-586-1340
  • Fax:
Mailing address:
  • Phone: 419-615-8242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-1-29453
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: