Provider Demographics
NPI:1780872853
Name:SEDLAK, FAITH MARIE (PHARM D)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:MARIE
Last Name:SEDLAK
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3613 PINEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WEST HOMESTEAD
Mailing Address - State:PA
Mailing Address - Zip Code:15120-1367
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4250 MURRAY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2904
Practice Address - Country:US
Practice Address - Phone:412-421-1340
Practice Address - Fax:412-521-3716
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-13
Last Update Date:2007-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441013183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist