Healthcare Provider Details

I. General information

NPI: 1164872743
Provider Name (Legal Business Name): LEAH CHELSEA LIEBERT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2016
Last Update Date: 05/18/2023
Certification Date: 05/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 SUMMIT PARK DR
PITTSBURGH PA
15275-1104
US

IV. Provider business mailing address

24 SUMMIT PARK DR
PITTSBURGH PA
15275-1104
US

V. Phone/Fax

Practice location:
  • Phone: 412-246-9858
  • Fax:
Mailing address:
  • Phone: 412-246-9858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP448834
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: