Healthcare Provider Details

I. General information

NPI: 1144041088
Provider Name (Legal Business Name): BRANDON STEPHENS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2024
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 MURRAY AVE
PITTSBURGH PA
15217-1604
US

IV. Provider business mailing address

165 HALLOCK ST
PITTSBURGH PA
15211-1367
US

V. Phone/Fax

Practice location:
  • Phone: 412-521-3900
  • Fax:
Mailing address:
  • Phone: 724-882-3476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP458157
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: