Provider Demographics
NPI:1023613569
Name:AI, ANDREA P (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:P
Last Name:AI
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 1:116 RIDGEVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:GLENSHAW
Mailing Address - State:PA
Mailing Address - Zip Code:15116-2665
Mailing Address - Country:US
Mailing Address - Phone:412-874-4730
Mailing Address - Fax:
Practice Address - Street 1:5504 WALNUT ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-2312
Practice Address - Country:US
Practice Address - Phone:412-681-5144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP046421183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist