Healthcare Provider Details

I. General information

NPI: 1386964484
Provider Name (Legal Business Name): PATRICIA ANN TOWER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2010
Last Update Date: 06/28/2022
Certification Date: 06/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 NOBLESTOWN RD
PITTSBURGH PA
15205-4146
US

IV. Provider business mailing address

3534 VALLEY DR
PITTSBURGH PA
15234-2020
US

V. Phone/Fax

Practice location:
  • Phone: 412-920-6190
  • Fax:
Mailing address:
  • Phone: 412-657-4526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP039119L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: