Provider Demographics
NPI:1285631432
Name:PATTERSON, ANTHONY ROBERT (RPH, BS PHARM, MBA)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:ROBERT
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:RPH, BS PHARM, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 SKYLARK DR
Mailing Address - Street 2:
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-8944
Mailing Address - Country:US
Mailing Address - Phone:724-457-6221
Mailing Address - Fax:
Practice Address - Street 1:631 N. BROAD ST. EXT.
Practice Address - Street 2:GROVE CITY MEDICAL CENTER
Practice Address - City:GROVE CITY
Practice Address - State:PA
Practice Address - Zip Code:16127
Practice Address - Country:US
Practice Address - Phone:724-773-2075
Practice Address - Fax:724-775-6906
Is Sole Proprietor?:No
Enumeration Date:2005-07-02
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044170L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist