Provider Demographics
NPI:1205973161
Name:REPINSKI, TRISHA VERONICA WALLACE (BS, PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:TRISHA
Middle Name:VERONICA WALLACE
Last Name:REPINSKI
Suffix:
Gender:F
Credentials:BS, PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1328 RESCUE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-3532
Mailing Address - Country:US
Mailing Address - Phone:412-322-0383
Mailing Address - Fax:
Practice Address - Street 1:1328 RESCUE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-3532
Practice Address - Country:US
Practice Address - Phone:412-322-0383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440989183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP440989OtherPHARMACIST LICENSE