Provider Demographics
NPI:1750571071
Name:MCKENNA, ERIN KELLY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:KELLY
Last Name:MCKENNA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CHATHAM CTR FL 8
Mailing Address - Street 2:112 WASHINGTON PLACE
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-3441
Mailing Address - Country:US
Mailing Address - Phone:412-454-8561
Mailing Address - Fax:412-454-7722
Practice Address - Street 1:1 CHATHAM CTR FL 8
Practice Address - Street 2:112 WASHINGTON PLACE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-3441
Practice Address - Country:US
Practice Address - Phone:412-454-8561
Practice Address - Fax:412-454-7722
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP0039042L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist