Healthcare Provider Details

I. General information

NPI: 1942122361
Provider Name (Legal Business Name): LUCY CHEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 COSTCO DR
PITTSBURGH PA
15205-4858
US

IV. Provider business mailing address

202 CHESTERFIELD RD
PITTSBURGH PA
15213-2516
US

V. Phone/Fax

Practice location:
  • Phone: 412-490-2203
  • Fax:
Mailing address:
  • Phone: 646-249-0773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP460458
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: