Healthcare Provider Details

I. General information

NPI: 1669466637
Provider Name (Legal Business Name): CANTERS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 GREENTREE RD A115
PITTSBURGH PA
15220-1452
US

IV. Provider business mailing address

2101 GREENTREE RD A115
PITTSBURGH PA
15220-1452
US

V. Phone/Fax

Practice location:
  • Phone: 412-561-6532
  • Fax: 412-561-6544
Mailing address:
  • Phone: 412-561-6532
  • Fax: 412-561-6544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. MIKE WESTBROOK
Title or Position: OWNER
Credential:
Phone: 412-561-6532