Healthcare Provider Details

I. General information

NPI: 1386950442
Provider Name (Legal Business Name): JAMIE LYNN WOYTEK PHARM. D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2010
Last Update Date: 08/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 MORNINGSIDE AVE
PITTSBURGH PA
15206-1070
US

IV. Provider business mailing address

164 HALLOCK ST
PITTSBURGH PA
15211-1334
US

V. Phone/Fax

Practice location:
  • Phone: 412-362-6121
  • Fax:
Mailing address:
  • Phone: 412-298-1464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP443993
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: