Provider Demographics
NPI:1497473284
Name:SOIA LLC
Entity Type:Organization
Organization Name:SOIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CONFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:412-682-4909
Mailing Address - Street 1:4727 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2025
Mailing Address - Country:US
Mailing Address - Phone:412-682-4909
Mailing Address - Fax:412-682-6696
Practice Address - Street 1:4727 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2025
Practice Address - Country:US
Practice Address - Phone:412-682-4909
Practice Address - Fax:412-682-6696
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOIA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-17
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103964095Medicaid