MEDICARE: DAN'S SOUTH HILLS PHARMACY

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	PP481447	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033213723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAN'S SOUTH HILLS PHARMACY

Provider Business Mailing Address
First Line	:	250 MOUNT LEBANON BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15234-1252
Country	:	US
Telephone Number	:	412-561-2347
Fax Number	:	412-561-2503

Provider Business Practice Location Address
First Line	:	250 MOUNT LEBANON BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15234-1252
Country	:	US
Telephone Number	:	412-561-2347
Fax Number	:	412-561-2503

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER A ASTI
Credential	:	RPH
Telephone Number	:	412-561-2347

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	09/26/2007

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Directions to “DAN'S SOUTH HILLS PHARMACY ” Practice Location

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