Provider Demographics
NPI:1831438126
Name:WELCH-PLASKEY, CAROL
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:WELCH-PLASKEY
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 1:51944 CURTIS CT
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-5802
Mailing Address - Country:US
Mailing Address - Phone:248-347-1015
Mailing Address - Fax:
Practice Address - Street 1:51944 CURTIS CT
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48167-5802
Practice Address - Country:US
Practice Address - Phone:248-347-1015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302027917183500000X
AZS018769183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist