Individual
MR. WALTER CHARLES CANSDALE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3621 WILLIAM PENN HWY, MONROEVILLE, PA 15146-2123
(412) 372-4097
Mailing address
100 LASPINA LN, IRWIN, PA 15642-4804
(724) 863-3104
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RP040424R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007752900020
—
PA
Enumeration date
01/26/2012
Last updated
01/26/2012
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