Provider Demographics
NPI:1720608862
Name:BARTOLOWITS, JASON (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:
Last Name:BARTOLOWITS
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5990 UNIVERSITY BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-4229
Mailing Address - Country:US
Mailing Address - Phone:412-269-0254
Mailing Address - Fax:
Practice Address - Street 1:5990 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-4229
Practice Address - Country:US
Practice Address - Phone:412-269-0254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-18
Last Update Date:2020-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP043108L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist