Provider Demographics
NPI:1881059046
Name:WESTMORELAND, AMY R (PHARMD, CGP)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:R
Last Name:WESTMORELAND
Suffix:
Gender:F
Credentials:PHARMD, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 GREEN HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:PEARISBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24134-2784
Mailing Address - Country:US
Mailing Address - Phone:540-921-4078
Mailing Address - Fax:
Practice Address - Street 1:533 GREEN HOLLOW RD
Practice Address - Street 2:
Practice Address - City:PEARISBURG
Practice Address - State:VA
Practice Address - Zip Code:24134-2784
Practice Address - Country:US
Practice Address - Phone:540-921-4078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-15
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02020069161835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric