Individual
SAMANTHA WADMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 PENN AVE, PITTSBURGH, PA 15222-3208
(330) 540-8308
Mailing address
625 STANWIX ST, PITTSBURGH, PA 15222-1417
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RP1012588
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP1012588
LICENSE NUMBER
PA
Enumeration date
12/16/2018
Last updated
12/16/2018
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