Individual
IAN KISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1915 E CARSON ST, PITTSBURGH, PA 15203-1835
(412) 381-1464
Mailing address
133 S 18TH ST, APT # 1, PITTSBURGH, PA 15203-1867
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP449064
PA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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