Healthcare Provider Details

I. General information

NPI: 1154799146
Provider Name (Legal Business Name): MORGAN RICHELE PETERMAN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2015
Last Update Date: 07/06/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 DELAFIELD RD
PITTSBURGH PA
15215-1802
US

IV. Provider business mailing address

6454 LIVING PL APT 322
PITTSBURGH PA
15206-3942
US

V. Phone/Fax

Practice location:
  • Phone: 412-822-2337
  • Fax:
Mailing address:
  • Phone: 814-762-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRP449777
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP449777
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: