Provider Demographics
NPI:1710220827
Name:WEBER, ANDREW LOUIS (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:LOUIS
Last Name:WEBER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5956 PENN CIR S
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3823
Mailing Address - Country:US
Mailing Address - Phone:412-362-6328
Mailing Address - Fax:412-362-6794
Practice Address - Street 1:5956 PENN CIR S
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3823
Practice Address - Country:US
Practice Address - Phone:412-362-6328
Practice Address - Fax:412-362-6794
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP446630183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist