MEDICARE: CHRISTOPHER DOMENIC SZELONG 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	RP455888	PA

General Provider Information

NPI Number	:	1932874146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER DOMENIC SZELONG PHARMD

Provider Business Mailing Address
First Line	:	238 3RD ST
Second Line	:
City	:	OAKMONT
State	:	PA
Zip	:	15139-2172
Country	:	US
Telephone Number	:	412-759-7048
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 SALTSBURG RD
Second Line	:
City	:	PENN HILLS
State	:	PA
Zip	:	15235-2066
Country	:	US
Telephone Number	:	412-798-0490
Fax Number	:

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

Provider Enumeration Date	:	08/10/2021
Last Update Date	:	08/10/2021

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