Healthcare Provider Details

I. General information

NPI: 1366765547
Provider Name (Legal Business Name): TIFFANY CHEN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2010
Last Update Date: 11/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 FREEPORT RD
PITTSBURGH PA
15215-3301
US

IV. Provider business mailing address

815 FREEPORT RD
PITTSBURGH PA
15215-3301
US

V. Phone/Fax

Practice location:
  • Phone: 412-784-4250
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number054085
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRP446198
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: