Provider Demographics
NPI:1255509634
Name:BOLEA, DANIELA P (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:P
Last Name:BOLEA
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 1:1901 LINCOLN HWY
Mailing Address - Street 2:KMART PHARMACY
Mailing Address - City:N VERSAILLES
Mailing Address - State:PA
Mailing Address - Zip Code:15137-2736
Mailing Address - Country:US
Mailing Address - Phone:412-823-7270
Mailing Address - Fax:412-823-1958
Practice Address - Street 1:5502 HARRIET ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1021
Practice Address - Country:US
Practice Address - Phone:412-687-9952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438806183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist