Provider Demographics
NPI:1003664806
Name:DAVID R MARCHEWKA PHARMD
Entity type:Organization
Organization Name:DAVID R MARCHEWKA PHARMD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MARCHEWKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-243-3404
Mailing Address - Street 1:600 WILLOWBROOK PLAZA
Mailing Address - Street 2:
Mailing Address - City:ROSTRAVER TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15012
Mailing Address - Country:US
Mailing Address - Phone:724-243-3404
Mailing Address - Fax:724-243-3407
Practice Address - Street 1:600 WILLOWBROOK PLAZA
Practice Address - Street 2:
Practice Address - City:ROSTRAVER TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15012
Practice Address - Country:US
Practice Address - Phone:724-243-3404
Practice Address - Fax:724-243-3407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy