MEDICARE: MS. ALEXIS MARIE BURKE M.S., 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	RP043255L	PA

General Provider Information

NPI Number	:	1508869041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALEXIS MARIE BURKE M.S., PHARM.D

Provider Business Mailing Address
First Line	:	2411 LETICOE ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15203-2418
Country	:	US
Telephone Number	:	412-481-6508
Fax Number	:

Provider Business Practice Location Address
First Line	:	2134 E CARSON ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15203-1904
Country	:	US
Telephone Number	:	412-431-5755
Fax Number	:

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

Provider Enumeration Date	:	05/28/2005
Last Update Date	:	07/08/2007

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