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NPI Code Detail

MEDICARE: GARY MICHAEL GRZECZKA

MEDICARE:   GARY MICHAEL GRZECZKA
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
1183500000XPharmacistRP037085RPA
2183500000XPharmacistRP0004745WV

General Provider Information

NPI Number : 1376861666
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY MICHAEL GRZECZKA
Provider Business Mailing Address
First Line : 3210 BANKSVILLE RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15216-2757
Country : US
Telephone Number : 412-388-1601
Fax Number : 412-563-0697
Provider Business Practice Location Address
First Line : 3210 BANKSVILLE RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15216-2757
Country : US
Telephone Number : 412-388-1601
Fax Number : 412-563-0697
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2010
Last Update Date : 05/11/2010

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Directions to “ GARY MICHAEL GRZECZKA ” Practice Location

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