Provider Demographics
NPI:1376752170
Name:MARTINETTI, PAMELA (RPH)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:
Last Name:MARTINETTI
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 1:3933 NANTASKET ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15207-4003
Mailing Address - Country:US
Mailing Address - Phone:412-235-7550
Mailing Address - Fax:
Practice Address - Street 1:3933 NANTASKET ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15207-4003
Practice Address - Country:US
Practice Address - Phone:412-235-7550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP33333L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist