Provider Demographics
NPI:1336738244
Name:KREIDER, MADELINE SLOAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:SLOAN
Last Name:KREIDER
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 1:4742 CENTRE AVE APT 702
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1735
Mailing Address - Country:US
Mailing Address - Phone:717-304-1827
Mailing Address - Fax:
Practice Address - Street 1:4610 CENTRE AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-1504
Practice Address - Country:US
Practice Address - Phone:412-683-8827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP453929183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist