Provider Demographics
NPI:1740562636
Name:JASZCAR, WILLIAM C (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:C
Last Name:JASZCAR
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 1:112 W STEUBEN ST
Mailing Address - Street 2:
Mailing Address - City:CRAFTON
Mailing Address - State:PA
Mailing Address - Zip Code:15205-2604
Mailing Address - Country:US
Mailing Address - Phone:412-928-0146
Mailing Address - Fax:412-928-0160
Practice Address - Street 1:112 W STEUBEN ST
Practice Address - Street 2:
Practice Address - City:CRAFTON
Practice Address - State:PA
Practice Address - Zip Code:15205-2604
Practice Address - Country:US
Practice Address - Phone:412-928-0146
Practice Address - Fax:412-928-0160
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAK1982272183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist