Provider Demographics
NPI:1659379030
Name:HIEBER'S PHARMACY INC.
Entity Type:Organization
Organization Name:HIEBER'S PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:BETTINGER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:412-681-6400
Mailing Address - Street 1:3500 5TH AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3337
Mailing Address - Country:US
Mailing Address - Phone:412-681-6400
Mailing Address - Fax:412-681-8774
Practice Address - Street 1:3500 5TH AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3337
Practice Address - Country:US
Practice Address - Phone:412-681-6400
Practice Address - Fax:412-681-8774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-11
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP411040L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1024328860001Medicaid
PA3977987OtherNABP