Provider Demographics
NPI:1194030056
Name:INMAN, CASEY ANNE
Entity Type:Individual
Prefix:MRS
First Name:CASEY
Middle Name:ANNE
Last Name:INMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CASEY
Other - Middle Name:ANNE
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4927 HOMEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122
Mailing Address - Country:US
Mailing Address - Phone:412-469-2220
Mailing Address - Fax:
Practice Address - Street 1:4927 HOMEVILLE RD
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122
Practice Address - Country:US
Practice Address - Phone:412-496-0730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444891183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist