Healthcare Provider Details

I. General information

NPI: 1336202035
Provider Name (Legal Business Name): CARMEN A DEMIAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 WASHINGTON PLACE ONE CHATHAM CENTER 17TH FLOOR
PITTSBURGH PA
15219
US

IV. Provider business mailing address

2508 WHARTON ST. APT. B
PITTSBURGH PA
15203
US

V. Phone/Fax

Practice location:
  • Phone: 412-454-5233
  • Fax: 412-454-5295
Mailing address:
  • Phone:
  • Fax: 412-454-5295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberRP045846L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: