Healthcare Provider Details

I. General information

NPI: 1295049393
Provider Name (Legal Business Name): RONALD P DELGRECO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2010
Last Update Date: 07/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 PENNSYLVANIA AVE
PITTSBURGH PA
15233-1407
US

IV. Provider business mailing address

625 ALEX COURT
CRANBERRY TWP PA
16066
US

V. Phone/Fax

Practice location:
  • Phone: 412-231-0868
  • Fax:
Mailing address:
  • Phone: 724-452-5607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP030572L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: