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NPI Code Detail

MEDICARE: CHISOM AMAEZE PHARMD

MEDICARE: CHISOM AMAEZE PHARMD
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
1183500000XPharmacistRP455760PA

General Provider Information

NPI Number : 1750054540
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHISOM AMAEZE PHARMD
Provider Business Mailing Address
First Line : 100 SETTLERS RIDGE CENTER DR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15205-1421
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 SETTLERS RIDGE CENTER DR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15205-1421
Country : US
Telephone Number : 412-490-5160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2021
Last Update Date : 07/27/2021

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Directions to “ CHISOM AMAEZE PHARMD” Practice Location

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