Organization
FEDERICO DE PASQUALE PC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
FRED DE PASQUALE RPH (OWNER)
(412) 561-3180
Entity
Organization
Contact information
Practice address
524 BROOKLINE BLVD, PITTSBURGH, PA 15226-2002
(412) 561-3180
(412) 561-3188
Mailing address
524 BROOKLINE BLVD, PITTSBURGH, PA 15226-2002
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP415169L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015852980002
—
PA
01
—
3971606
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
03/07/2023
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