Healthcare Provider Details

I. General information

NPI: 1144388612
Provider Name (Legal Business Name): HARRY MICHAEL MARCHEWKA JR. PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

642 MCKEAN AVE
DONORA PA
15033-1003
US

IV. Provider business mailing address

3710 REBECCA ST
PITTSBURGH PA
15234-2337
US

V. Phone/Fax

Practice location:
  • Phone: 724-379-5630
  • Fax:
Mailing address:
  • Phone: 412-973-8620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP440185
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: