Provider Demographics
NPI:1073153730
Name:ALBANO, CARMENE
Entity Type:Individual
Prefix:
First Name:CARMENE
Middle Name:
Last Name:ALBANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 ROBBINS STATION RD
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-2251
Mailing Address - Country:US
Mailing Address - Phone:724-216-2889
Mailing Address - Fax:
Practice Address - Street 1:6531 US-22
Practice Address - Street 2:
Practice Address - City:DELMONT
Practice Address - State:PA
Practice Address - Zip Code:15626
Practice Address - Country:US
Practice Address - Phone:724-468-6282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP454115183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist