Provider Demographics
NPI:1730785320
Name:WESTERMEIER, BOBBI NICOLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BOBBI
Middle Name:NICOLE
Last Name:WESTERMEIER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:669 N BISHOP AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3412
Mailing Address - Country:US
Mailing Address - Phone:484-620-1973
Mailing Address - Fax:
Practice Address - Street 1:795 BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3967
Practice Address - Country:US
Practice Address - Phone:610-690-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0005281183500000X
PARP452353183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist