Provider Demographics
NPI:1730334186
Name:WELGE, GRETCHEN S (RPH)
Entity type:Individual
Prefix:MS
First Name:GRETCHEN
Middle Name:S
Last Name:WELGE
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 1:1832 SIGNAL HILL DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-1661
Mailing Address - Country:US
Mailing Address - Phone:717-728-9859
Mailing Address - Fax:
Practice Address - Street 1:1832 SIGNAL HILL DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-1661
Practice Address - Country:US
Practice Address - Phone:717-728-9859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037918R1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist