| NPI | 1447919550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANNE ZMARZLY Pharmacy Managed Care Credentialing 412-968-1529 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2026-08-17 |