Provider Demographics
NPI:1093088460
Name:WESTLING, JAYME LYNN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JAYME
Middle Name:LYNN
Last Name:WESTLING
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 2ND AVE SW
Mailing Address - Street 2:
Mailing Address - City:MILACA
Mailing Address - State:MN
Mailing Address - Zip Code:56353-1105
Mailing Address - Country:US
Mailing Address - Phone:320-982-3300
Mailing Address - Fax:
Practice Address - Street 1:127 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:MILACA
Practice Address - State:MN
Practice Address - Zip Code:56353-1105
Practice Address - Country:US
Practice Address - Phone:320-982-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1174691835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy