Provider Demographics
NPI:1396171799
Name:DUQUESNE UNIVERSITY OF THE HOLY SPIRIT
Entity type:Organization
Organization Name:DUQUESNE UNIVERSITY OF THE HOLY SPIRIT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNK
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:412-396-2155
Mailing Address - Street 1:600 FORBES AVENUE CENTER FOR PHARMACY CARE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15282-6202
Mailing Address - Country:US
Mailing Address - Phone:412-396-2155
Mailing Address - Fax:412-396-2161
Practice Address - Street 1:600 FORBES AVENUE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15282-6202
Practice Address - Country:US
Practice Address - Phone:412-396-2155
Practice Address - Fax:412-396-2161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-18
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
1326555129OtherNPI