MEDICARE: DANYELLE WESSELKAMPER PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP00009294	NM

General Provider Information

NPI Number	:	1881282382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANYELLE WESSELKAMPER PHARMD

Provider Business Mailing Address
First Line	:	13815 GRADY CT NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87123-4731
Country	:	US
Telephone Number	:	505-307-9264
Fax Number	:

Provider Business Practice Location Address
First Line	:	4201 MONTANO RD NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87120-5743
Country	:	US
Telephone Number	:	505-922-4997
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2021
Last Update Date	:	01/09/2021

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Directions to “ DANYELLE WESSELKAMPER PHARMD” Practice Location

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