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NPI Code Detail

MEDICARE: MRS. JESSICA KUBILIUS RPH

MEDICARE: MRS. JESSICA KUBILIUS 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
1183500000XPharmacistRP041035LPA

General Provider Information

NPI Number : 1801883491
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA KUBILIUS RPH
Provider Business Mailing Address
First Line : 103 S 22ND ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15203-2040
Country : US
Telephone Number : 412-488-1275
Fax Number :
Provider Business Practice Location Address
First Line : 620 EPSILON DR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15238-2808
Country : US
Telephone Number : 412-967-2300
Fax Number : 412-968-2782
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 07/08/2007

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