Provider Demographics
NPI:1154977007
Name:CONNOLLY, FIONA KATHERINE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FIONA
Middle Name:KATHERINE
Last Name:CONNOLLY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 WHIPPLE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-1140
Mailing Address - Country:US
Mailing Address - Phone:412-860-9612
Mailing Address - Fax:
Practice Address - Street 1:120 COUNTRY SIDE PLZ
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666-1816
Practice Address - Country:US
Practice Address - Phone:724-547-5590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-16
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP453660183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist