Provider Demographics
NPI:1093142671
Name:MALOTTE, KASEY LORIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KASEY
Middle Name:LORIN
Last Name:MALOTTE
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 1:1000 5TH AVE
Mailing Address - Street 2:208 MULDOON BUILDING
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-6202
Mailing Address - Country:US
Mailing Address - Phone:412-396-6422
Mailing Address - Fax:
Practice Address - Street 1:1000 5TH AVE
Practice Address - Street 2:208 MULDOON BUILDING
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-6202
Practice Address - Country:US
Practice Address - Phone:412-396-6422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP448256183500000X
MD21997183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist