MEDICARE: DR. ERIC KAUPINIS 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
1	183500000X	Pharmacist	03230619	OH
2	183500000X	Pharmacist	RP444602	PA

General Provider Information

NPI Number	:	1912493537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC KAUPINIS PHARMD

Provider Business Mailing Address
First Line	:	16 HASTINGS AVE
Second Line	:
City	:	OAKDALE
State	:	PA
Zip	:	15071-1227
Country	:	US
Telephone Number	:	412-600-4338
Fax Number	:

Provider Business Practice Location Address
First Line	:	847 MIDLAND AVE
Second Line	:
City	:	MIDLAND
State	:	PA
Zip	:	15059-1511
Country	:	US
Telephone Number	:	724-643-6520
Fax Number	:	724-643-2665

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

Provider Enumeration Date	:	07/06/2018
Last Update Date	:	07/06/2018

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