Provider Demographics
NPI:1124350715
Name:BOSILOVIC, JOANNE FUSCA (RPH)
Entity type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:FUSCA
Last Name:BOSILOVIC
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:MARIE
Other - Last Name:FUSCA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:2189 CHARDONNAY CIR
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-7469
Mailing Address - Country:US
Mailing Address - Phone:412-310-1506
Mailing Address - Fax:
Practice Address - Street 1:3000 ERICSSON DR
Practice Address - Street 2:
Practice Address - City:WARRENDALE
Practice Address - State:PA
Practice Address - Zip Code:15086-6501
Practice Address - Country:US
Practice Address - Phone:724-772-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033278R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist