Healthcare Provider Details

I. General information

NPI: 1053640821
Provider Name (Legal Business Name): W PA ONSITERX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2009
Last Update Date: 12/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 PERRY HWY
HARMONY PA
16037-9790
US

IV. Provider business mailing address

PO BOX 190
FORNEY TX
75126-0190
US

V. Phone/Fax

Practice location:
  • Phone: 724-452-4026
  • Fax:
Mailing address:
  • Phone: 972-552-5599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE WOODS COAST
Title or Position: PHARMACIST MANAGER
Credential: PHARMD
Phone: 724-456-4288