Provider Demographics
NPI:1801315494
Name:MARCHEWKA, DAVID ROBERT (PHARM D)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ROBERT
Last Name:MARCHEWKA
Suffix:
Gender:M
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 1:1612 LEONA AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15129-9731
Mailing Address - Country:US
Mailing Address - Phone:412-303-5958
Mailing Address - Fax:
Practice Address - Street 1:2850 BROWNSVILLE RD
Practice Address - Street 2:
Practice Address - City:SOUTH PARK
Practice Address - State:PA
Practice Address - Zip Code:15129-8530
Practice Address - Country:US
Practice Address - Phone:412-835-4552
Practice Address - Fax:412-835-4236
Is Sole Proprietor?:No
Enumeration Date:2017-09-14
Last Update Date:2017-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP450766183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist