Provider Demographics
NPI:1386753473
Name:HARDESTY, JOSANNE (RPH)
Entity type:Individual
Prefix:
First Name:JOSANNE
Middle Name:
Last Name:HARDESTY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 GREENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-4921
Mailing Address - Country:US
Mailing Address - Phone:724-779-7719
Mailing Address - Fax:
Practice Address - Street 1:325 NEW CASTLE RD.
Practice Address - Street 2:BUTLER VA MEDICAL CENTER
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2418
Practice Address - Country:US
Practice Address - Phone:724-285-2208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041043L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist