Provider Demographics
NPI:1558676965
Name:BALESTRIERI-BAILEY, TERESA (RPH)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:BALESTRIERI-BAILEY
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 1:410 COOKE LN
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1414
Mailing Address - Country:US
Mailing Address - Phone:412-563-1505
Mailing Address - Fax:412-563-5804
Practice Address - Street 1:410 COOKE LN
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1414
Practice Address - Country:US
Practice Address - Phone:412-563-1505
Practice Address - Fax:412-563-5804
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038864L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist