Provider Demographics
NPI:1912995887
Name:WESSEL, DAVID L (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:L
Last Name:WESSEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8205 MARQUIS DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-4476
Mailing Address - Country:US
Mailing Address - Phone:412-367-3286
Mailing Address - Fax:412-367-0144
Practice Address - Street 1:725 W. INGOMAR RD.
Practice Address - Street 2:
Practice Address - City:INGOMAR
Practice Address - State:PA
Practice Address - Zip Code:15127
Practice Address - Country:US
Practice Address - Phone:412-367-5778
Practice Address - Fax:412-367-0144
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037727L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3967619OtherNABP NUMBER
PA3967619OtherNABP NUMBER