Provider Demographics
NPI:1437496395
Name:WESTMORELAND, ELAINE S (PHARMD)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:S
Last Name:WESTMORELAND
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 1:301 WEST RD
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-5300
Mailing Address - Country:US
Mailing Address - Phone:407-656-1254
Mailing Address - Fax:407-656-1607
Practice Address - Street 1:301 WEST RD
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-5300
Practice Address - Country:US
Practice Address - Phone:407-656-1254
Practice Address - Fax:407-656-1607
Is Sole Proprietor?:No
Enumeration Date:2013-01-12
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS43619183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS43619OtherSTATE LICENSE