Healthcare Provider Details
I. General information
NPI: 1902760143
Provider Name (Legal Business Name): ERIC LECATO
Entity Type: Individual
Gender:
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4401 PENN AVE
PITTSBURGH PA
15224-1334
US
IV. Provider business mailing address
342 SERVICE WAY
PITTSBURGH PA
15201-1732
US
V. Phone/Fax
- Phone: 412-692-5325
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | RP453325 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: