Provider Demographics
NPI:1558847376
Name:WEIBEL, LEE ANNE (RPH)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:ANNE
Last Name:WEIBEL
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 1:127 PINE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CHICORA
Mailing Address - State:PA
Mailing Address - Zip Code:16025-4307
Mailing Address - Country:US
Mailing Address - Phone:724-543-3400
Mailing Address - Fax:
Practice Address - Street 1:200 MARKET ST
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-1525
Practice Address - Country:US
Practice Address - Phone:724-543-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-15
Last Update Date:2018-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038891L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist