Provider Demographics
NPI:1326823535
Name:WEIGLE, COLIN
Entity Type:Individual
Prefix:
First Name:COLIN
Middle Name:
Last Name:WEIGLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 RUTHFRED DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1642
Mailing Address - Country:US
Mailing Address - Phone:814-483-1406
Mailing Address - Fax:
Practice Address - Street 1:417 CHARTIERS ST
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-2033
Practice Address - Country:US
Practice Address - Phone:814-483-1406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP457805183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist