Provider Demographics
NPI:1497341556
Name:MCCLURE, WESLEY AARON (PHARM D)
Entity Type:Individual
Prefix:
First Name:WESLEY
Middle Name:AARON
Last Name:MCCLURE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 HARRISON ST STE A
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-7444
Mailing Address - Country:US
Mailing Address - Phone:870-793-3999
Mailing Address - Fax:870-793-8203
Practice Address - Street 1:2000 HARRISON ST STE A
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-7444
Practice Address - Country:US
Practice Address - Phone:870-793-3999
Practice Address - Fax:870-793-8203
Is Sole Proprietor?:No
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD099351835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist