Provider Demographics
NPI:1700558640
Name:PUNTURERI, JEFFREY CARL (RPH)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:CARL
Last Name:PUNTURERI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9805 MCKNIGHT RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-6008
Mailing Address - Country:US
Mailing Address - Phone:412-366-3214
Mailing Address - Fax:412-366-4107
Practice Address - Street 1:9805 MCKNIGHT RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-6008
Practice Address - Country:US
Practice Address - Phone:412-366-3214
Practice Address - Fax:412-366-4107
Is Sole Proprietor?:No
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP042130R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist