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Contact Information

SHADY MED INC
5020 CENTRE AVE
PITTSBURGH, PA15213
 Phone: 412-586-5410
 Fax: 412-586-5351
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SHADY MED INC

NPI # 1336211135
LBN Legal business name SHADY MED INC
Authorized official MARVIN SHEFFLER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2006
Last updated 01/22/2016 - About 10 years ago
Identifiers
PA License # PP414789L
PA Medicaid 0014239230003
Other 3967114 OTHER ID NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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