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NPI Code Detail

MEDICARE: MR. DEAN STANLEY BUDASH

MEDICARE:  MR. DEAN STANLEY BUDASH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP-030528-LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RP-030528-LOTHERPAPHARMACIST LICENSE

General Provider Information

NPI Number : 1003137779
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DEAN STANLEY BUDASH
Provider Business Mailing Address
First Line : 25 E PIKE ST
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-1311
Country : US
Telephone Number : 724-745-4418
Fax Number : 724-745-2710
Provider Business Practice Location Address
First Line : 25 E PIKE ST
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-1311
Country : US
Telephone Number : 724-745-4418
Fax Number : 724-745-2710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2010
Last Update Date : 06/17/2010

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Directions to “ MR. DEAN STANLEY BUDASH ” Practice Location

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