Individual
DANTE JESSE DIMATTEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
215 ALLEGHENY AVE STE 102, OAKMONT, PA 15139-2092
(412) 826-9500
(412) 826-1884
Mailing address
215 ALLEGHENY AVE STE 102, OAKMONT, PA 15139-2092
(412) 826-9500
(412) 826-1884
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP452762
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP452762
PHARMACIST LICENSE NUMBER
PA
01
—
RPI012508
AUTHORIZATION TO ADMINISTER INJECTABLES
PA
Enumeration date
01/07/2022
Last updated
01/07/2022
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