Provider Demographics
NPI:1912083536
Name:WHEAT, ANSLEY MICHELLE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ANSLEY
Middle Name:MICHELLE
Last Name:WHEAT
Suffix:
Gender:F
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 1:8941 GREEN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:THEODORE
Mailing Address - State:AL
Mailing Address - Zip Code:36582-7863
Mailing Address - Country:US
Mailing Address - Phone:251-653-3818
Mailing Address - Fax:
Practice Address - Street 1:5600 GIRBY RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-3320
Practice Address - Country:US
Practice Address - Phone:251-660-5925
Practice Address - Fax:251-660-5200
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13868183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist