Provider First Line Business Practice Location Address:
UNIVERSITY DRIVE C
Provider Second Line Business Practice Location Address:
ROOM 1N218 PHARMACY
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-360-3022
Provider Business Practice Location Address Fax Number:
412-360-6193
Provider Enumeration Date:
09/20/2012