Healthcare Provider Details

I. General information

NPI: 1578750337
Provider Name (Legal Business Name): COMPLETE RX SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2007
Last Update Date: 06/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 MAYVIEW RD STE 103
BRIDGEVILLE PA
15017-1590
US

IV. Provider business mailing address

250 MOUNT LEBANON BLVD STE 30
PITTSBURGH PA
15234-1252
US

V. Phone/Fax

Practice location:
  • Phone: 412-319-7290
  • Fax: 412-319-7349
Mailing address:
  • Phone: 412-341-4505
  • Fax: 412-341-4512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP481654
License Number StatePA

VIII. Authorized Official

Name: DANIEL ASTI
Title or Position: OWNER
Credential:
Phone: 412-680-4842