Provider Demographics
NPI:1437162468
Name:OHARE, GERARD EDWARD (RPH)
Entity Type:Individual
Prefix:MR
First Name:GERARD
Middle Name:EDWARD
Last Name:OHARE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 SUGAR CAMP RD
Mailing Address - Street 2:
Mailing Address - City:VENETIA
Mailing Address - State:PA
Mailing Address - Zip Code:15367-1149
Mailing Address - Country:US
Mailing Address - Phone:724-413-8492
Mailing Address - Fax:724-745-8818
Practice Address - Street 1:66 W PIKE ST
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-1314
Practice Address - Country:US
Practice Address - Phone:724-745-6480
Practice Address - Fax:724-745-8818
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031890L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP031890LOtherPHARMACIST