# DEPARMENT OF MILITARY AFFAIRS COMMONWEALTH OF PENNSYLVANAIA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEPARTMENT OF MILITARY AFFAIRS COMMONWEALTH OF PENNSYLVANAI
- **Other names:** Southerwestern Veterans Center Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770930141
- **Legal business name:** DEPARTMENT OF MILITARY AFFAIRS COMMONWEALTH OF PENNSYLVANAI
- **Authorized official:** MR. THOMAS REED JR. (FISCAL SERVICES ADMINISTRATOR)
- **Authorized official phone:** (814) 242-7789

## Contact information

- **Practice address:** 7060 HIGHLAND DR, PITTSBURGH, PA 15206-1259
- **Practice address phone:** (412) 665-6706
- **Practice address fax:** (412) 665-6799
- **Mailing address:** 7060 HIGHLAND DR, PITTSBURGH, PA 15206-1259
- **Mailing address phone:** (412) 665-6706
- **Mailing address fax:** (412) 665-6799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PP482631 | PA | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2016
- **Last updated:** 05/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 022187 | MEDICARE PTAN | PA |
| 05 | — | 1007378250015 | — | PA |