Provider Demographics
NPI:1700905098
Name:PENN TAFT PHARMACY
Entity Type:Organization
Organization Name:PENN TAFT PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STANFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:LEFKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTER PHARMACIST
Authorized Official - Phone:412-466-0100
Mailing Address - Street 1:1815 PENNSYLVANIA AVENUE
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-3998
Mailing Address - Country:US
Mailing Address - Phone:412-466-0100
Mailing Address - Fax:412-466-5282
Practice Address - Street 1:1815 PENNSYLVANIA AVENUE
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-3998
Practice Address - Country:US
Practice Address - Phone:412-466-0100
Practice Address - Fax:412-466-5282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy