Healthcare Provider Details

I. General information

NPI: 1508548975
Provider Name (Legal Business Name): JEREMY CARL HUWE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2023
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 LIBRARY RD
BETHEL PARK PA
15102-2829
US

IV. Provider business mailing address

5100 LIBRARY RD
BETHEL PARK PA
15102-2829
US

V. Phone/Fax

Practice location:
  • Phone: 412-854-1207
  • Fax:
Mailing address:
  • Phone: 412-854-1207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP457701
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: