Provider Demographics
NPI:1467166611
Name:WELCH, PAUL JEFFREY (RPH)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:JEFFREY
Last Name:WELCH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 HIGH COUNTRY DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-3451
Mailing Address - Country:US
Mailing Address - Phone:919-605-6280
Mailing Address - Fax:
Practice Address - Street 1:148 HIGH COUNTRY DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-3451
Practice Address - Country:US
Practice Address - Phone:919-605-6280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038257333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy