Provider Demographics
NPI:1942565791
Name:TRIZZINO, SANDRA L (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:L
Last Name:TRIZZINO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7016 PIN OAK CT
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1047
Mailing Address - Country:US
Mailing Address - Phone:412-641-4356
Mailing Address - Fax:412-641-1104
Practice Address - Street 1:7016 PIN OAK CT
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1047
Practice Address - Country:US
Practice Address - Phone:412-641-4356
Practice Address - Fax:412-641-1104
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440537183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist