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Organization

MOMBA PHARMACY SERVICES LLC

Active
Other names
WALTMIRE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
FEDERICO DEPASQUALE (PRESIDENT)
(412) 323-1801
Entity
Organization

Contact information

Practice address
1435 SPRING GARDEN AVE, PITTSBURGH, PA 15212-3711
(412) 323-1801
(412) 323-1687
Mailing address
1435 SPRING GARDEN AVE, PITTSBURGH, PA 15212-3711
(412) 323-1801
(412) 323-1687

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
01/24/2024
Last updated
01/24/2024
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