MEDICARE: ELIZABETH PHARMACY, INC

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	333600000X	Pharmacy	PP410683L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3923821	OTHER	PA	NCPDP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902893837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIZABETH PHARMACY, INC

Provider Business Mailing Address
First Line	:	5041 2ND AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15207-1679
Country	:	US
Telephone Number	:	412-421-0114
Fax Number	:	412-421-1216

Provider Business Practice Location Address
First Line	:	5041 2ND AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15207-1679
Country	:	US
Telephone Number	:	412-421-0114
Fax Number	:	412-421-1216

Authorized Official
Title or Position	:	OWNER/PHARMACIST
Name	:	MR. JOSEPH ANTHONY REICH
Credential	:
Telephone Number	:	412-421-0114

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	06/25/2025

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Directions to “ELIZABETH PHARMACY, INC ” Practice Location

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