MEDICARE: GENE A RILEY & THOMAS C RILEY PTRS

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PP413537L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2084162	OTHER		PK

General Provider Information

NPI Number	:	1881666923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENE A RILEY & THOMAS C RILEY PTRS

Provider Business Mailing Address
First Line	:	300 MOUNT LEBANON BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15234-1512
Country	:	US
Telephone Number	:	412-344-6700
Fax Number	:	412-344-5223

Provider Business Practice Location Address
First Line	:	300 MOUNT LEBANON BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15234-1512
Country	:	US
Telephone Number	:	412-344-6700
Fax Number	:	412-344-5223

Authorized Official
Title or Position	:	OWNER
Name	:	THOMAS C RILEY
Credential	:	RPH
Telephone Number	:	412-344-6700

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	05/11/2024

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Directions to “GENE A RILEY & THOMAS C RILEY PTRS ” Practice Location

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