Provider Demographics
NPI:1609767417
Name:WESLEY PHARMACEUTICALS
Entity type:Organization
Organization Name:WESLEY PHARMACEUTICALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR REGULATORY AFFAIRS
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLIER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:407-440-1555
Mailing Address - Street 1:5551 VANGUARD ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-8532
Mailing Address - Country:US
Mailing Address - Phone:407-440-1555
Mailing Address - Fax:
Practice Address - Street 1:5551 VANGUARD ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8532
Practice Address - Country:US
Practice Address - Phone:407-440-1555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy