Provider Demographics
NPI:1922127273
Name:MURRAY AVENUE APOTHECARY, INC.
Entity Type:Organization
Organization Name:MURRAY AVENUE APOTHECARY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MERENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-421-4996
Mailing Address - Street 1:4227 MURRAY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2903
Mailing Address - Country:US
Mailing Address - Phone:412-421-4996
Mailing Address - Fax:412-421-6500
Practice Address - Street 1:4227 MURRAY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2903
Practice Address - Country:US
Practice Address - Phone:412-421-4996
Practice Address - Fax:412-421-6500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039741L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty