Provider Demographics
NPI:1841815792
Name:DORAL PHARMACEUTICALS LLC
Entity type:Organization
Organization Name:DORAL PHARMACEUTICALS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PRUDENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANCIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-561-2417
Mailing Address - Street 1:799 CASTLE SHANNON BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1601
Mailing Address - Country:US
Mailing Address - Phone:412-561-2417
Mailing Address - Fax:412-561-7418
Practice Address - Street 1:799 CASTLE SHANNON BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1601
Practice Address - Country:US
Practice Address - Phone:412-563-1505
Practice Address - Fax:412-561-7418
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DORAL PHARMACEUTICALS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-16
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy