Individual
CARLY TAMAR GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9805 MCKNIGHT RD, PITTSBURGH, PA 15237-6008
(412) 366-3214
Mailing address
3501 TERRACE ST, PITTSBURGH, PA 15213-2523
(412) 624-5240
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP453375
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP453375
STATE BOARD OF PHARMACY
PA
01
—
RPI013000
STATE BOARD OF PHARMACY
PA
Enumeration date
07/31/2019
Last updated
07/31/2019
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