Healthcare Provider Details

I. General information

NPI: 1386753473
Provider Name (Legal Business Name): JOSANNE HARDESTY R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 NEW CASTLE RD. BUTLER VA MEDICAL CENTER
BUTLER PA
16001-2418
US

IV. Provider business mailing address

231 GREENWOOD DR
CRANBERRY TOWNSHIP PA
16066-4921
US

V. Phone/Fax

Practice location:
  • Phone: 724-285-2208
  • Fax:
Mailing address:
  • Phone: 724-779-7719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP041043L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: