Provider Demographics
NPI:1790424406
Name:WESLEY, DONNA LEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:LEE
Last Name:WESLEY
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 1:610 E BRANNON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-6046
Mailing Address - Country:US
Mailing Address - Phone:859-639-8020
Mailing Address - Fax:859-260-4163
Practice Address - Street 1:610 E BRANNON RD STE 201
Practice Address - Street 2:
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-6046
Practice Address - Country:US
Practice Address - Phone:859-639-8020
Practice Address - Fax:859-260-4163
Is Sole Proprietor?:No
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0104401835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist