MEDICARE: MR. WILLIAM JOHN WINGE

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	RP036943L	PA

General Provider Information

NPI Number	:	1568781201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM JOHN WINGE

Provider Business Mailing Address
First Line	:	402 CLAIRTON BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15236-3808
Country	:	US
Telephone Number	:	412-653-1322
Fax Number	:	412-650-8406

Provider Business Practice Location Address
First Line	:	402 CLAIRTON BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15236-3808
Country	:	US
Telephone Number	:	412-653-1322
Fax Number	:	412-650-8406

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

Provider Enumeration Date	:	05/20/2010
Last Update Date	:	05/20/2010

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Directions to “ MR. WILLIAM JOHN WINGE ” Practice Location

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