Provider Demographics
NPI:1689959850
Name:SPLENDA, TARYN LYNN
Entity Type:Individual
Prefix:
First Name:TARYN
Middle Name:LYNN
Last Name:SPLENDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 WORTHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-2720
Mailing Address - Country:US
Mailing Address - Phone:412-302-1623
Mailing Address - Fax:
Practice Address - Street 1:623 SAINT CLAIR AVE
Practice Address - Street 2:
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-1436
Practice Address - Country:US
Practice Address - Phone:412-233-2703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444881183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist