Provider Demographics
NPI:1174417927
Name:WESCLARE CORPORATION
Entity type:Organization
Organization Name:WESCLARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:NICKMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:724-780-2021
Mailing Address - Street 1:3 NICKMAN PLZ
Mailing Address - Street 2:
Mailing Address - City:LEMONT FURNACE
Mailing Address - State:PA
Mailing Address - Zip Code:15456-9732
Mailing Address - Country:US
Mailing Address - Phone:724-780-2021
Mailing Address - Fax:844-309-9254
Practice Address - Street 1:6039 NATIONAL PIKE
Practice Address - Street 2:
Practice Address - City:GRINDSTONE
Practice Address - State:PA
Practice Address - Zip Code:15442-1107
Practice Address - Country:US
Practice Address - Phone:724-785-4522
Practice Address - Fax:724-785-2863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy