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NPI Code Detail

MEDICARE: MITCHELL E MIRABILE PHARMD

MEDICARE: MITCHELL E MIRABILE PHARMD
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
1183500000XPharmacistRP454535PA

General Provider Information

NPI Number : 1205454154
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITCHELL E MIRABILE PHARMD
Provider Business Mailing Address
First Line : 151 ROBINSON ST APT 33
Second Line :
City : PITTSBURGH
State : PA
Zip : 15213-2528
Country : US
Telephone Number : 814-619-1936
Fax Number :
Provider Business Practice Location Address
First Line : 4800 FRIENDSHIP AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15224-1793
Country : US
Telephone Number : 412-578-4085
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2020
Last Update Date : 07/08/2020

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Directions to “ MITCHELL E MIRABILE PHARMD” Practice Location

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