Healthcare Provider Details

I. General information

NPI: 1932425014
Provider Name (Legal Business Name): KATHLEEN VOLLMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2010
Last Update Date: 04/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 SAW MILL RUN BLVD
PITTSBURGH PA
15234-3110
US

IV. Provider business mailing address

3516 ASHLAND DR
BETHEL PARK PA
15102-1406
US

V. Phone/Fax

Practice location:
  • Phone: 412-882-0500
  • Fax:
Mailing address:
  • Phone: 412-854-0165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP030743L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: