# ALLEGHENY COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** kane regional ctr Glen hazel Pharmacy, Kane Regional Center Glen Hazel Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659449619
- **Authorized official:** MR. BABU SRINIVAS (CFO)
- **Authorized official phone:** (412) 422-6904

## Contact information

- **Practice address:** 955 RIVERMONT DR, PITTSBURGH, PA 15207-1347
- **Practice address phone:** (412) 422-6050
- **Practice address fax:** (412) 422-6966
- **Mailing address:** 955 RIVERMONT DR, PITTSBURGH, PA 15207-1347
- **Mailing address phone:** (412) 422-6050
- **Mailing address fax:** (412) 422-6966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0009363430005 | — | PA |
| 01 | — | 3946716 | NABP | — |
| 01 | — | HP-418354L | PHARMACY LICENSE | PA |