Wheeler, Dewanna Desha

Wheeler, Dewanna Desha is an individual health care provider with primary practice located at 1857 Pine St Suite 102, Abilene TX 79601-2429. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wheeler, Dewanna Desha can be contacted via phone (325) 670-4545.

Contact Information

Primary practice address
1857 Pine St Suite 102 Abilene TX 79601-2429
Phone: (325) 670-4545
Fax: (325) 670-2896
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 34447 Texas

Profile Details

NPI number 1790855328
LBN Legal business name Wheeler, Dewanna Desha
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790855328 NPPES
Texas MEDICAID 143925
Texas Other 4588060

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