Provider Demographics
NPI:1033997655
Name:MARCINIAK, MOLLY ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:ANN
Last Name:MARCINIAK
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 1:55 VASSAR AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1425
Mailing Address - Country:US
Mailing Address - Phone:412-926-6003
Mailing Address - Fax:
Practice Address - Street 1:4885 MCKNIGHT RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-3400
Practice Address - Country:US
Practice Address - Phone:412-366-6359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPI016470183500000X
PARP457900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist