Healthcare Provider Details

I. General information

NPI: 1164042248
Provider Name (Legal Business Name): KATHERINE ANN RIDEN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2020
Last Update Date: 08/05/2020
Certification Date: 08/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 SUTHERLAND DRIVE SALK PAVILION 222
PITTSBURGH PA
15261-6801
US

IV. Provider business mailing address

1842 PARKVIEW BLVD APT 301
PITTSBURGH PA
15217-5203
US

V. Phone/Fax

Practice location:
  • Phone: 412-624-5240
  • Fax:
Mailing address:
  • Phone: 772-480-2523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS59923
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP454769
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: