Organization
DEPARMENT OF MILITARY AFFAIRS COMMONWEALTH OF PENNSYLVANAIA
Active
Parent organization
DEPARTMENT OF MILITARY AFFAIRS COMMONWEALTH OF PENNSYLVANAI
Other names
Southerwestern Veterans Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEPARTMENT OF MILITARY AFFAIRS COMMONWEALTH OF PENNSYLVANAI
Authorized official
MR. THOMAS REED JR. (FISCAL SERVICES ADMINISTRATOR)
(814) 242-7789
Entity
Organization
Contact information
Practice address
7060 HIGHLAND DR, PITTSBURGH, PA 15206-1259
(412) 665-6706
(412) 665-6799
Mailing address
7060 HIGHLAND DR, PITTSBURGH, PA 15206-1259
(412) 665-6706
(412) 665-6799
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP482631
PA
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022187
MEDICARE PTAN
PA
05
—
1007378250015
—
PA
Enumeration date
05/16/2016
Last updated
05/24/2022
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