Provider Demographics
NPI:1740556596
Name:DUDA-SCACCIA, TERESE ANNETTE (PHARMD)
Entity Type:Individual
Prefix:
First Name:TERESE
Middle Name:ANNETTE
Last Name:DUDA-SCACCIA
Suffix:
Gender:F
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:ONE MELLON WAY
Mailing Address - Street 2:LATROBE HOSPITAL EXCELA HEALTH
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650
Mailing Address - Country:US
Mailing Address - Phone:724-537-1256
Mailing Address - Fax:724-537-1265
Practice Address - Street 1:ONE MELLON WAY
Practice Address - Street 2:LATROBE HOSPITAL EXCELA HEALTH
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650
Practice Address - Country:US
Practice Address - Phone:724-537-1256
Practice Address - Fax:724-537-1265
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031730L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist