Healthcare Provider Details

I. General information

NPI: 1548265143
Provider Name (Legal Business Name): BRIAN L MARIEN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 MOUNT ROYAL BLVD
PITTSBURGH PA
15223-1060
US

IV. Provider business mailing address

804 INDEPENDENCE CT
VALENCIA PA
16059-1542
US

V. Phone/Fax

Practice location:
  • Phone: 412-487-2695
  • Fax:
Mailing address:
  • Phone: 724-625-7254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberRP030716L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: