Healthcare Provider Details

I. General information

NPI: 1437749405
Provider Name (Legal Business Name): PAUL J SIMPSON II PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2021
Last Update Date: 01/22/2021
Certification Date: 01/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 PENNSYLVANIA AVE
PITTSBURGH PA
15233-1407
US

IV. Provider business mailing address

1150 GREENFIELD AVE APT 1
PITTSBURGH PA
15217-2985
US

V. Phone/Fax

Practice location:
  • Phone: 412-231-0868
  • Fax:
Mailing address:
  • Phone: 412-309-0135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP455296
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: