MEDICARE: LOW PHARM INC.

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	3336C0003X	Community/Retail Pharmacy
2	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1396420667
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOW PHARM INC.

Provider Business Mailing Address
First Line	:	20 BAILEY AVE STE 100
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15211-1728
Country	:	US
Telephone Number	:	412-481-2400
Fax Number	:	412-481-9310

Provider Business Practice Location Address
First Line	:	20 BAILEY AVE STE 100
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15211-1728
Country	:	US
Telephone Number	:	412-481-2400
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JAMIE DALE WYELS
Credential	:	RPH
Telephone Number	:	412-481-2400

Provider Enumeration Date	:	06/15/2023
Last Update Date	:	01/09/2024

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Directions to “LOW PHARM INC. ” Practice Location

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