Provider Demographics
NPI:1003402355
Name:LIPKO, NATALIE ROSE (PHARMD)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:ROSE
Last Name:LIPKO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 W STEUBEN ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-2644
Mailing Address - Country:US
Mailing Address - Phone:724-689-8145
Mailing Address - Fax:
Practice Address - Street 1:70 W STEUBEN ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-2644
Practice Address - Country:US
Practice Address - Phone:724-689-8145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449562183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist