MEDICARE: STUTZ PHARMACY

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
1	183500000X	Pharmacist	PP412430L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3906495	OTHER	PA	NABP NUMBER

General Provider Information

NPI Number	:	1023162500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STUTZ PHARMACY

Provider Business Mailing Address
First Line	:	2134 E CARSON ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15203-1904
Country	:	US
Telephone Number	:	412-431-9302
Fax Number	:	412-431-6871

Provider Business Practice Location Address
First Line	:	2134 E CARSON ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15203-1904
Country	:	US
Telephone Number	:	412-431-9302
Fax Number	:	412-431-6871

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHEN H STUTZ
Credential	:	RPH
Telephone Number	:	412-431-9302

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	08/22/2020

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Directions to “STUTZ PHARMACY ” Practice Location

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