MEDICARE: TRICIA R. NOLIN RPH

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	RP041958T	PA

General Provider Information

NPI Number	:	1770860405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRICIA R. NOLIN RPH

Provider Business Mailing Address
First Line	:	1717 ROUTE 228
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-5312
Country	:	US
Telephone Number	:	724-778-9007
Fax Number	:	724-778-9007

Provider Business Practice Location Address
First Line	:	1717 ROUTE 228
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-5312
Country	:	US
Telephone Number	:	724-778-9007
Fax Number	:	724-778-9007

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

Provider Enumeration Date	:	11/09/2011
Last Update Date	:	11/09/2011

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