MEDICARE: JOHN WAYNE REEDY JR.

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	RP443756	PA

General Provider Information

NPI Number	:	1255093191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN WAYNE REEDY JR.

Provider Business Mailing Address
First Line	:	3762 GREENSBURG PIKE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-3904
Country	:	US
Telephone Number	:	412-979-8085
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 MURRAY AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1607
Country	:	US
Telephone Number	:	412-421-2903
Fax Number	:	412-421-2961

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

Provider Enumeration Date	:	10/07/2021
Last Update Date	:	10/07/2021

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Directions to “ JOHN WAYNE REEDY JR. ” Practice Location

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