Provider Demographics
NPI:1457186207
Name:MAGNU, ANTHONY (PHARMD)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:MAGNU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2918 ONEILL DR
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-2666
Mailing Address - Country:US
Mailing Address - Phone:412-722-6531
Mailing Address - Fax:
Practice Address - Street 1:5190 LIBRARY RD
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-2771
Practice Address - Country:US
Practice Address - Phone:412-833-6029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP458724183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist