Healthcare Provider Details

I. General information

NPI: 1881106599
Provider Name (Legal Business Name): WESTMORELAND R&D, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2017
Last Update Date: 11/19/2020
Certification Date: 11/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 W GRAND ST
WHITEWRIGHT TX
75491-5316
US

IV. Provider business mailing address

115 W GRAND ST
WHITEWRIGHT TX
75491-5316
US

V. Phone/Fax

Practice location:
  • Phone: 214-699-8072
  • Fax: 903-421-9354
Mailing address:
  • Phone: 214-699-8072
  • Fax: 903-421-9354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW TRAN
Title or Position: PHARMACIST
Credential: PHARMD
Phone: 214-564-9498