Healthcare Provider Details

I. General information

NPI: 1790017739
Provider Name (Legal Business Name): DR. TONIA HUF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DR. TONIA GIBSON

II. Dates (important events)

Enumeration Date: 02/02/2010
Last Update Date: 02/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 ERICSSON DR SUITE 100
WARRENDALE PA
15086-6501
US

IV. Provider business mailing address

3000 ERICSSON DR SUITE 100
WARRENDALE PA
15086-6501
US

V. Phone/Fax

Practice location:
  • Phone: 721-772-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP4424777
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: