Provider Demographics
NPI:1093021735
Name:MCINTYRE, TRISHA (PHARM D)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16438-1055
Mailing Address - Country:US
Mailing Address - Phone:814-438-3112
Mailing Address - Fax:814-438-8023
Practice Address - Street 1:1 E HIGH ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:PA
Practice Address - Zip Code:16438-1055
Practice Address - Country:US
Practice Address - Phone:814-438-3112
Practice Address - Fax:814-438-8023
Is Sole Proprietor?:No
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438157183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist