Healthcare Provider Details

I. General information

NPI: 1790450435
Provider Name (Legal Business Name): EMILY LYNN RUPNIK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2021
Last Update Date: 08/13/2021
Certification Date: 08/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 BROWNSVILLE RD
PITTSBURGH PA
15210-4273
US

IV. Provider business mailing address

201 MASSEY RD # 578
MIDWAY PA
15060-1134
US

V. Phone/Fax

Practice location:
  • Phone: 412-881-6439
  • Fax:
Mailing address:
  • Phone: 724-255-4094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP455937
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: