Provider Demographics
NPI:1568785129
Name:WESTERN PENNSYLVANIA HOSPITAL
Entity Type:Organization
Organization Name:WESTERN PENNSYLVANIA HOSPITAL
Other - Org Name:WESTERN PENNSYLVANIA HOSPITAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:YARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-578-3561
Mailing Address - Street 1:4800 FRIENDSHIP AVE
Mailing Address - Street 2:SUITE 1422
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1722
Mailing Address - Country:US
Mailing Address - Phone:412-605-6337
Mailing Address - Fax:412-605-6344
Practice Address - Street 1:4800 FRIENDSHIP AVE STE 1422
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1722
Practice Address - Country:US
Practice Address - Phone:412-605-6337
Practice Address - Fax:412-605-6344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-10
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PAPP4819833336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3993967OtherNCPDP PROVIDER IDENTIFICATION NUMBER