Healthcare Provider Details

I. General information

NPI: 1437930468
Provider Name (Legal Business Name): MARIAN MIKHAIL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2023
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CRANBERRY WOODS DR
CRANBERRY TOWNSHIP PA
16066-5213
US

IV. Provider business mailing address

700 CRANBERRY WOODS DR
CRANBERRY TOWNSHIP PA
16066-5213
US

V. Phone/Fax

Practice location:
  • Phone: 412-366-3214
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP458025
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: