Provider Demographics
NPI:1083891071
Name:COUNTY OF ALLEGHENY
Entity Type:Organization
Organization Name:COUNTY OF ALLEGHENY
Other - Org Name:ALLEGHENY COUNTY HEALTH DEPARTMENT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:SPAGIARE
Authorized Official - Last Name:NIGHTINGALE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-578-8168
Mailing Address - Street 1:436 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-2400
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:425 1ST AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-1321
Practice Address - Country:US
Practice Address - Phone:412-578-8168
Practice Address - Fax:412-578-7905
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF ALLEGHENY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-22
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAHP418256L333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00532692Medicaid
PA164880Medicare PIN