Provider Demographics
NPI:1700549706
Name:WELSBACHER-PLATEK, ELEANOR JANE
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:JANE
Last Name:WELSBACHER-PLATEK
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 1:5055 LIBRARY RD STE 5
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-4215
Mailing Address - Country:US
Mailing Address - Phone:412-831-7727
Mailing Address - Fax:412-833-0606
Practice Address - Street 1:5055 LIBRARY RD
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-2813
Practice Address - Country:US
Practice Address - Phone:412-831-7727
Practice Address - Fax:412-833-0606
Is Sole Proprietor?:No
Enumeration Date:2021-10-16
Last Update Date:2021-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP032768L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist