Healthcare Provider Details

I. General information

NPI: 1982936845
Provider Name (Legal Business Name): JAMILYN GRAFF PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2010
Last Update Date: 02/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 ERICSSON DR
WARRENDALE PA
15086-6501
US

IV. Provider business mailing address

3000 ERICSSON DR
WARRENDALE PA
15086-6501
US

V. Phone/Fax

Practice location:
  • Phone: 724-772-6000
  • Fax:
Mailing address:
  • Phone: 724-772-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP438587
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: