MEDICARE: JONATHAN ROBERT AKANOWICZ PHARM D

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	RP440162	PA

General Provider Information

NPI Number	:	1104142157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN ROBERT AKANOWICZ PHARM D

Provider Business Mailing Address
First Line	:	4924 APPLE RIDGE DR
Second Line	:
City	:	ALLISON PARK
State	:	PA
Zip	:	15101-1168
Country	:	US
Telephone Number	:	412-916-7782
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 FREEPORT RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15238-3103
Country	:	US
Telephone Number	:	412-782-2277
Fax Number	:

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

Provider Enumeration Date	:	04/15/2010
Last Update Date	:	04/15/2010

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