Organization
SOIA LLC
Active
Other names
Bloomfield Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN CONFER PHARMD (OWNER/PHARMACIST)
(412) 682-4909
Entity
Organization
Contact information
Practice address
4727 LIBERTY AVE, PITTSBURGH, PA 15224-2025
(412) 682-4909
(412) 682-6696
Mailing address
4727 LIBERTY AVE, PITTSBURGH, PA 15224-2025
(412) 682-4909
(412) 682-6696
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP410208L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100711612
—
PA
Enumeration date
01/06/2007
Last updated
02/18/2022
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