Individual
ALEXIS DZIATKOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
105 MALL BLVD, MONROEVILLE, PA 15146-2213
(800) 238-7828
Mailing address
1411 GRANDVIEW AVE APT 302, PITTSBURGH, PA 15211-1158
(304) 794-9838
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03132185
OH
183500000X
Pharmacist
Primary
RP446856
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP446856
PHARMACIST
PA
Enumeration date
04/11/2016
Last updated
04/11/2016
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