Individual
LEA JEAN GRONDZIOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1580 MCLAUGHLIN RUN RD STE 212, SUITE 212, PITTSBURGH, PA 15241
(412) 319-7215
(412) 319-7041
Mailing address
1580 MCLAUGHLIN RUN RD STE 212, PITTSBURGH, PA 15241-3100
(412) 319-7215
(412) 319-7041
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RP035276L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP035276L
PA PHARMACY LICENSE
PA
Enumeration date
07/29/2020
Last updated
07/29/2020
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