Provider Demographics
NPI:1588624779
Name:ZEGLINSKI, MICHAEL GERARD
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:GERARD
Last Name:ZEGLINSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2533 RIVA RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7958
Mailing Address - Country:US
Mailing Address - Phone:724-933-7138
Mailing Address - Fax:724-933-7139
Practice Address - Street 1:600 PENN CENTER BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-5800
Practice Address - Country:US
Practice Address - Phone:412-825-8166
Practice Address - Fax:412-717-9006
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP036954L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist