=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336337351
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WESTERN PENNSYLVANIA HOSPITAL PHARMACY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/04/2007
-----------------------------------------------------
Last Update Date | 12/19/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4800 FRIENDSHIP AVE GR301
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15224-1722
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-578-3561
-----------------------------------------------------
Fax | 412-578-1999
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4800 FRIENDSHIP AVE GR301
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15224-1722
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-578-3561
-----------------------------------------------------
Fax | 412-578-1999
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACY DIRECTOR
-----------------------------------------------------
Name | ERIC YARNELL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 412-578-3561
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336I0012X
-----------------------------------------------------
Taxonomy Name | Institutional Pharmacy
-----------------------------------------------------
License Number | HP418215L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------