Paul Westervelt, PHARMD

Individual provider Active NPI Pharmacist · West Jefferson, OH

NPI 1508384751 · NPPES record last updated Sep 7, 2017

Key facts

NPI
1508384751
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
03334865 (OH)
Practice address
487 W Main St
West Jefferson, OH 43162-1178
Phone
(614) 879-8500
Fax
(614) 879-6171
NPI assigned
Sep 7, 2017
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03334865OHMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03334865 OH Yes

Addresses

Primary practice location

487 W Main St
West Jefferson, OH 43162-1178

Mailing address

359 W 5TH Ave
Columbus, OH 43201-3157

Other providers in West Jefferson, OH

All providers in West Jefferson, OH · Pharmacist in Ohio

Sources for this page

Verify at the official NPI Registry.