Healthcare Provider Details

I. General information

NPI: 1881953321
Provider Name (Legal Business Name): TIFFANY MARIE REINHARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2012
Last Update Date: 05/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CLAY PIKE
NORTH HUNTINGDON PA
15642-2039
US

IV. Provider business mailing address

1429 ABERS CREEK RD
PITTSBURGH PA
15239-2303
US

V. Phone/Fax

Practice location:
  • Phone: 724-863-2350
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP445652
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: