Provider Demographics
NPI:1508238908
Name:VELLETRI, CHELSEA ANN
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ANN
Last Name:VELLETRI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 W KING ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3797
Mailing Address - Country:US
Mailing Address - Phone:717-394-5671
Mailing Address - Fax:717-427-1632
Practice Address - Street 1:355 W KING ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3797
Practice Address - Country:US
Practice Address - Phone:717-394-5671
Practice Address - Fax:717-427-1632
Is Sole Proprietor?:No
Enumeration Date:2015-10-24
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0004765183500000X
MD23413183500000X
PARP450021183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist