Healthcare Provider Details

I. General information

NPI: 1124638929
Provider Name (Legal Business Name): ERIN LINDSAY WASYLSON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2020
Last Update Date: 08/06/2020
Certification Date: 08/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9805 MCKNIGHT RD
PITTSBURGH PA
15237-6008
US

IV. Provider business mailing address

304 HILL FARM LN
VALENCIA PA
16059-1431
US

V. Phone/Fax

Practice location:
  • Phone: 412-366-3214
  • Fax:
Mailing address:
  • Phone: 724-496-0802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP454780
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: