Provider Demographics
NPI:1770604506
Name:DRISKILL, HEATHER MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:MARIE
Last Name:DRISKILL
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 1:281 HEATHER DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1747
Mailing Address - Country:US
Mailing Address - Phone:610-304-1020
Mailing Address - Fax:
Practice Address - Street 1:300 PENN CENTER BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-5511
Practice Address - Country:US
Practice Address - Phone:412-349-6337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP046405183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist