Provider Demographics
NPI:1205133501
Name:CAUSER, DEREK PAUL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DEREK
Middle Name:PAUL
Last Name:CAUSER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:MR
Other - First Name:DEREK
Other - Middle Name:PAUL
Other - Last Name:CAUSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:120 5TH AVE
Mailing Address - Street 2:PAP 4205
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-3000
Mailing Address - Country:US
Mailing Address - Phone:814-443-6963
Mailing Address - Fax:814-445-4296
Practice Address - Street 1:120 5TH AVE
Practice Address - Street 2:PAP 4205
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-3000
Practice Address - Country:US
Practice Address - Phone:814-443-6963
Practice Address - Fax:814-445-4296
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12703183500000X
PARP443996183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist