Healthcare Provider Details

I. General information

NPI: 1972146959
Provider Name (Legal Business Name): DR. JOHN FREDERICK TOKAR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2019
Last Update Date: 10/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W KENSINGER DR
CRANBERRY TWP PA
16066-3428
US

IV. Provider business mailing address

1024 GREENOCK BUENA VISTA RD
MCKEESPORT PA
15135-2324
US

V. Phone/Fax

Practice location:
  • Phone: 888-319-1818
  • Fax:
Mailing address:
  • Phone: 412-266-4505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP453266
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: