Healthcare Provider Details

I. General information

NPI: 1669734984
Provider Name (Legal Business Name): KATHY ANN HUFFMAN R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2012
Last Update Date: 06/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 CLAIRTON BLVD
PITTSBURGH PA
15236-4517
US

IV. Provider business mailing address

720 CLAIRTON BLVD
PITTSBURGH PA
15236-4517
US

V. Phone/Fax

Practice location:
  • Phone: 412-653-7906
  • Fax: 412-653-7909
Mailing address:
  • Phone: 412-653-7906
  • Fax: 412-653-7909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP033051L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPI005202
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: