Provider Demographics
NPI:1215699855
Name:COCCIA, DUSTIN (PHARMD)
Entity type:Individual
Prefix:
First Name:DUSTIN
Middle Name:
Last Name:COCCIA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1029 W VIEW PARK DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1772
Mailing Address - Country:US
Mailing Address - Phone:412-931-0393
Mailing Address - Fax:412-931-2534
Practice Address - Street 1:1029 W VIEW PARK DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15229-1772
Practice Address - Country:US
Practice Address - Phone:412-931-0393
Practice Address - Fax:412-931-2534
Is Sole Proprietor?:No
Enumeration Date:2021-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441918183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist