Organization
GREEN PARK HEALTH LLC DBA TROY PHARMACY
Active
Other names
Troy Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CONRAD BURKE RPH RP032893L (GENERAL MANAGER)
(412) 915-3510
Entity
Organization
Contact information
Practice address
1612 LOWRIE STREET, TROY PHARMACY, PITTSBURGH, PA 15212
(412) 904-2231
(412) 904-2605
Mailing address
1612 LOWRIE STREET, PITTSBURGH, PA 15212
(412) 732-0292
(412) 904-2605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PP482013
PA
333600000X
Pharmacy
PP482013
PA
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PP482013
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3954282
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/08/2007
Last updated
08/15/2013
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