Provider Demographics
NPI:1831819358
Name:OBERST, CASSIDY ELIZABETH
Entity type:Individual
Prefix:
First Name:CASSIDY
Middle Name:ELIZABETH
Last Name:OBERST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3705 N WOODLAND CIR
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-9119
Mailing Address - Country:US
Mailing Address - Phone:412-477-1945
Mailing Address - Fax:
Practice Address - Street 1:6201 SALTSBURG RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-2067
Practice Address - Country:US
Practice Address - Phone:412-793-7298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP457131183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist