Healthcare Provider Details

I. General information

NPI: 1649372277
Provider Name (Legal Business Name): ALAN SEKULA PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2006
Last Update Date: 11/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

968 PERRY HWY
PITTSBURGH PA
15237-2148
US

IV. Provider business mailing address

312 PROVIDENCE DR
WEXFORD PA
15090-7441
US

V. Phone/Fax

Practice location:
  • Phone: 412-635-4650
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP440239
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: