Healthcare Provider Details

I. General information

NPI: 1861499188
Provider Name (Legal Business Name): HILDEGARDE J. BERDINE PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 07/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DUQUESNE UNIVERSITY MYLAN SCHOOL OF PHARMACY 600 FORBES AVENUE 201 MULDOON BUILDING
PITTSBURGH PA
15282-0001
US

IV. Provider business mailing address

29 S 16TH ST
PITTSBURGH PA
15203-1562
US

V. Phone/Fax

Practice location:
  • Phone: 412-396-6422
  • Fax: 412-396-2161
Mailing address:
  • Phone: 724-816-2364
  • Fax: 412-396-2161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberRP 042261R
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: