Provider Demographics
NPI:1467652396
Name:RICHARDSON, RENEE MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RENEE
Middle Name:MARIE
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:MARIE
Other - Last Name:ALSBERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:101 KAPPA DRIVE
Mailing Address - Street 2:PHARMACY DEPARTMENT
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-0000
Mailing Address - Country:US
Mailing Address - Phone:724-980-9101
Mailing Address - Fax:412-968-1561
Practice Address - Street 1:101 KAPPA DR
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-2809
Practice Address - Country:US
Practice Address - Phone:412-963-2383
Practice Address - Fax:412-968-1561
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPI108050183500000X
PARP443842183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist