Provider Demographics
NPI:1336202035
Name:DEMIAN, CARMEN A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:A
Last Name:DEMIAN
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 1:2508 WHARTON ST.
Mailing Address - Street 2:APT. B
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:412-454-5295
Practice Address - Street 1:112 WASHINGTON PLACE
Practice Address - Street 2:ONE CHATHAM CENTER 17TH FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219
Practice Address - Country:US
Practice Address - Phone:412-454-5233
Practice Address - Fax:412-454-5295
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045846L1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric