Provider Demographics
NPI:1346253077
Name:SPEERHAS, LUCY EDDER (RPH)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:EDDER
Last Name:SPEERHAS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 SKYLARK DR
Mailing Address - Street 2:
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-8945
Mailing Address - Country:US
Mailing Address - Phone:724-457-6270
Mailing Address - Fax:724-457-6270
Practice Address - Street 1:VA PITTSBURGH HEALTHCARE SYSTEMS
Practice Address - Street 2:UNIVERSITY DRIVE C (132M-A)
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240
Practice Address - Country:US
Practice Address - Phone:412-784-3559
Practice Address - Fax:412-688-6193
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041073L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist