Healthcare Provider Details

I. General information

NPI: 1194854257
Provider Name (Legal Business Name): DEBORAH A MILITO PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 LINDEN DR
JEANNETTE PA
15644-2844
US

IV. Provider business mailing address

1105 LINDEN DR
JEANNETTE PA
15644-2844
US

V. Phone/Fax

Practice location:
  • Phone: 412-554-0743
  • Fax:
Mailing address:
  • Phone: 412-554-0743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberRP031886L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: