Healthcare Provider Details

I. General information

NPI: 1568288132
Provider Name (Legal Business Name): ALYSSA J VRANA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2024
Last Update Date: 11/28/2024
Certification Date: 11/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 CHESTNUT ST
CARNEGIE PA
15106-2777
US

IV. Provider business mailing address

120 RYDAL LN
PITTSBURGH PA
15237-4010
US

V. Phone/Fax

Practice location:
  • Phone: 412-279-5020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP458951
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: