MEDICARE: TIMOTHY GANNON

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	RP045848L	PA

General Provider Information

NPI Number	:	1073993630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY GANNON

Provider Business Mailing Address
First Line	:	4960 WILLIAM FLYNN HWY
Second Line	:
City	:	ALLISON PARK
State	:	PA
Zip	:	15101-2354
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4960 WILLIAM FLYNN HWY
Second Line	:
City	:	ALLISON PARK
State	:	PA
Zip	:	15101-2354
Country	:	US
Telephone Number	:	724-443-5455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2015
Last Update Date	:	06/08/2015

Similar Medicare Providers

1205935541 — THRIFT DRUG INC
Practice Location Address:

4960 WILLIAM FLYNN HIGHWAY , SUITE 10
ALLISON PARK, PA
15101-2354

Practice Phone: 724-443-5455
Practice Fax:

1154405447 — NICOLE DIANE LIGGETT OD
Practice Location Address:

4960 WILLIAM FLYNN HWY
ALLISON PARK, PA
15101-2354

Practice Phone: 724-443-5060
Practice Fax: 724-443-5066

1881855211 — NICOLE D BOSAK OD INC
Practice Location Address:

4960 WILLIAM FLYNN HWY , SUITE 13
ALLISON PARK, PA
15101-2354

Practice Phone: 724-444-1149
Practice Fax:

1740592625 — SEAN MICHAEL KARR DPT
Practice Location Address:

4960 ROUTE 8
ALLISON PARK, PA
15101-2354

Practice Phone: 724-443-8060
Practice Fax: 724-443-8056

1255646204 — DIANE MARIE PASTOREK
Practice Location Address:

4960 WILLIAM FLYNN HWY , SUITE 10
ALLISON PARK, PA
15101-2354

Practice Phone: 724-443-5455
Practice Fax:

1588079909 — RITE AID
Practice Location Address:

4960 WILLIAM FLYNN HWY
ALLISON PARK, PA
15101-2354

Practice Phone: 724-443-5455
Practice Fax:

Directions to “ TIMOTHY GANNON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.