Provider Demographics
NPI:1831521285
Name:PEKNY, CHELSEA REGINA (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:REGINA
Last Name:PEKNY
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 SPENCER CT
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-1197
Mailing Address - Country:US
Mailing Address - Phone:765-491-5667
Mailing Address - Fax:
Practice Address - Street 1:3545 W 86TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-1930
Practice Address - Country:US
Practice Address - Phone:317-228-0419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26025238A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist