MEDICARE: MR. MICHAEL J MORETTI R.PH.

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	RP033079L	PA

General Provider Information

NPI Number	:	1235453440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL J MORETTI R.PH.

Provider Business Mailing Address
First Line	:	550 MORELAND DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15243-1714
Country	:	US
Telephone Number	:	412-276-0418
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 MARKET PLACE BLVD
Second Line	:
City	:	MOON TWP
State	:	PA
Zip	:	15108-9737
Country	:	US
Telephone Number	:	412-859-0136
Fax Number	:	412-859-3327

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

Provider Enumeration Date	:	03/16/2010
Last Update Date	:	03/16/2010

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