Provider Demographics
NPI:1003583097
Name:HARPSTER, JUSTIN GLENN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:GLENN
Last Name:HARPSTER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 E WATERFRONT DR APT 5104
Mailing Address - Street 2:
Mailing Address - City:MUNHALL
Mailing Address - State:PA
Mailing Address - Zip Code:15120-5051
Mailing Address - Country:US
Mailing Address - Phone:814-327-9092
Mailing Address - Fax:
Practice Address - Street 1:1700 MURRAY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1604
Practice Address - Country:US
Practice Address - Phone:412-521-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP456032183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist