Healthcare Provider Details

I. General information

NPI: 1851495048
Provider Name (Legal Business Name): JEANETTE M KREUTZER PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 07/08/2022
Certification Date: 07/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 DELAFIELD RD
PITTSBURGH PA
15215-1802
US

IV. Provider business mailing address

748 VENANGO AVE
PITTSBURGH PA
15209-1248
US

V. Phone/Fax

Practice location:
  • Phone: 412-822-2022
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number17731
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17731
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: