Healthcare Provider Details

I. General information

NPI: 1609904002
Provider Name (Legal Business Name): JAYNE SCHERF PRELOSKY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2885 LEECHBURG RD
LOWER BURRELL PA
15068-2542
US

IV. Provider business mailing address

429 WEDGEWOOD DR
LOWER BURRELL PA
15068-3038
US

V. Phone/Fax

Practice location:
  • Phone: 724-334-1067
  • Fax: 724-334-9681
Mailing address:
  • Phone: 724-339-2635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP031947L
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: