Provider Demographics
NPI:1164909594
Name:NEHILLA, MICHELE D (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:D
Last Name:NEHILLA
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 TYHURST LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15129-9454
Mailing Address - Country:US
Mailing Address - Phone:412-831-8495
Mailing Address - Fax:
Practice Address - Street 1:2251 CENTURY DR
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2465
Practice Address - Country:US
Practice Address - Phone:412-653-6605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-27
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPI007732183500000X
PARP035469L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist