Provider Demographics
NPI:1558061945
Name:TRAPANI, ELAINE ANN (RPH)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:ANN
Last Name:TRAPANI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:MILLVALE
Mailing Address - State:PA
Mailing Address - Zip Code:15209-2634
Mailing Address - Country:US
Mailing Address - Phone:412-821-1524
Mailing Address - Fax:412-821-1528
Practice Address - Street 1:225 GRANT AVE
Practice Address - Street 2:
Practice Address - City:MILLVALE
Practice Address - State:PA
Practice Address - Zip Code:15209-2634
Practice Address - Country:US
Practice Address - Phone:412-821-1524
Practice Address - Fax:412-821-1528
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP032559L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011499050001Medicaid