MEDICARE: DR. CHELSEA LEEANN TRAVIS PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP456937	PA

General Provider Information

NPI Number	:	1639806425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHELSEA LEEANN TRAVIS PHARMD

Provider Business Mailing Address
First Line	:	469 W FINLEY RD
Second Line	:
City	:	WEST FINLEY
State	:	PA
Zip	:	15377-2000
Country	:	US
Telephone Number	:	724-470-4918
Fax Number	:

Provider Business Practice Location Address
First Line	:	575 HENDERSON AVE
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-1901
Country	:	US
Telephone Number	:	724-225-1592
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2022
Last Update Date	:	08/02/2022

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