Provider Demographics
NPI:1225254071
Name:PITARO, ANTHONY H (RPH)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:H
Last Name:PITARO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 MUSKET DR
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19067-4908
Mailing Address - Country:US
Mailing Address - Phone:215-736-3839
Mailing Address - Fax:
Practice Address - Street 1:206 WELSH RD
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2208
Practice Address - Country:US
Practice Address - Phone:215-706-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034953R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist