Healthcare Provider Details
I. General information
NPI: 1730870478
Provider Name (Legal Business Name): MIHALKO MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/15/2023
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1759 SMALLMAN ST
PITTSBURGH PA
15222-4314
US
IV. Provider business mailing address
1759 SMALLMAN ST
PITTSBURGH PA
15222-4314
US
V. Phone/Fax
- Phone: 412-681-6400
- Fax: 412-681-8774
- Phone: 412-681-6400
- Fax: 412-681-8774
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROSEMARY
ELAINE
MIHALKO
Title or Position: SOLE MEMBER
Credential: PHARMD
Phone: 412-681-6400