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NPI Code Detail

MEDICARE: LEILA R FATFAT PHARMACIST

MEDICARE: LEILA R FATFAT PHARMACIST
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
1183500000XPharmacistRP1002552PA
2183500000XPharmacistRP044328LPA

General Provider Information

NPI Number : 1881902393
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEILA R FATFAT PHARMACIST
Provider Business Mailing Address
First Line : 2316 WELLS DR
Second Line :
City : BETHEL PARK
State : PA
Zip : 15102-1932
Country : US
Telephone Number : 412-833-4521
Fax Number :
Provider Business Practice Location Address
First Line : 2501 BANKSVILLE RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15216-2853
Country : US
Telephone Number : 412-571-2550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2010
Last Update Date : 09/17/2010

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Directions to “ LEILA R FATFAT PHARMACIST” Practice Location

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