Provider Demographics
NPI:1023666419
Name:UPMC PRESBYTERIAN SHADYSIDE
Entity type:Organization
Organization Name:UPMC PRESBYTERIAN SHADYSIDE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR OF PHARMACY
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:L'ALTRELLI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:412-647-5929
Mailing Address - Street 1:200 LOTHROP STREET
Mailing Address - Street 2:F186 INPATIENT PHARMACY (C/O ALFRED L'ALTRELLI)
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-547-5929
Mailing Address - Fax:
Practice Address - Street 1:200 LOTHROP STREET
Practice Address - Street 2:F186 INPATIENT PHARMACY (C/O ALFRED L'ALTRELLI)
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-547-5929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UPMC PRESBYTERIAN SHADYSIDE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAHP418160LOtherSTATE BOARD OF PHARMACY