Provider Demographics
NPI:1417968504
Name:MCNEILLY, PATRICK S (RPH)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:S
Last Name:MCNEILLY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7180 HIGHLAND DR
Mailing Address - Street 2:VA PGH HCS
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206
Mailing Address - Country:US
Mailing Address - Phone:412-365-5712
Mailing Address - Fax:412-365-4242
Practice Address - Street 1:VA PGH HCS
Practice Address - Street 2:UNIVERSITY DRIVE 'C' (132M-H)
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240
Practice Address - Country:US
Practice Address - Phone:412-365-5712
Practice Address - Fax:412-365-4242
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP028558L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist