Healthcare Provider Details

I. General information

NPI: 1659583573
Provider Name (Legal Business Name): MARK ALAN KRAMER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MARKET ST
ELIZABETH PA
15037
US

IV. Provider business mailing address

1321 GREYSTONE DR
PITTSBURGH PA
15241-3215
US

V. Phone/Fax

Practice location:
  • Phone: 412-384-2890
  • Fax: 412-384-1576
Mailing address:
  • Phone: 412-257-5946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP033612L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: