Organization
ALLEGHENY CLINIC
Active
Other names
AHN Pharmacy #5
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD PAUL HIGGINBOTHAM (DIRECTOR-RETAIL PHARMACY OPERATIONS)
(412) 359-3613
Entity
Organization
Contact information
Practice address
120 5TH AVE STE 300, PITTSBURGH, PA 15222-3025
(412) 442-2350
Mailing address
120 5TH AVE, PITTSBURGH, PA 15222-3000
(412) 594-3637
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481975
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007317140458
—
PA
01
—
PP481975
PHARMACY LICENSE
PA
Enumeration date
11/14/2014
Last updated
02/10/2020
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