Healthcare Provider Details

I. General information

NPI: 1235663329
Provider Name (Legal Business Name): STEVEN MARKOVITZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2017
Last Update Date: 04/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 SHAW AVE
MCKEESPORT PA
15132-2918
US

IV. Provider business mailing address

331 SHAW AVE
MCKEESPORT PA
15132-2918
US

V. Phone/Fax

Practice location:
  • Phone: 412-664-6590
  • Fax: 412-664-6592
Mailing address:
  • Phone: 412-664-6590
  • Fax: 412-664-6592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP029562L
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: