Individual
MS. DIANE MARIA THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
VA PITTSBURGH HEALTHCARE SYSTEM, UNIVERSITY DRIVE C (132M-U), PITTSBURGH, PA 15240
(412) 784-3559
(412) 688-6193
Mailing address
4818 TOFTREES DR, ALLISON PARK, PA 15101-2352
(184) 443-5101
(412) 688-6193
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RP031826L
PA
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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