Provider Demographics
NPI:1053535658
Name:WHEELER, OLWYN MARIE (BSPHARM, PHARMD)
Entity type:Individual
Prefix:DR
First Name:OLWYN
Middle Name:MARIE
Last Name:WHEELER
Suffix:
Gender:F
Credentials:BSPHARM, PHARMD
Other - Prefix:DR
Other - First Name:OLWYN
Other - Middle Name:MARIE
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSPHARM, PHARMD
Mailing Address - Street 1:4709 S HILL VIEW DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-2331
Mailing Address - Country:US
Mailing Address - Phone:704-965-7350
Mailing Address - Fax:704-381-7171
Practice Address - Street 1:2525 COURT DR
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2140
Practice Address - Country:US
Practice Address - Phone:704-834-2308
Practice Address - Fax:704-834-3030
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13165183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist