Provider Demographics
NPI:1891543690
Name:PLEASANT HILLS RX LLC
Entity type:Organization
Organization Name:PLEASANT HILLS RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LINETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:EVANCIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-653-7566
Mailing Address - Street 1:25 GILL HALL RD STE 2
Mailing Address - Street 2:
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3004
Mailing Address - Country:US
Mailing Address - Phone:412-653-7566
Mailing Address - Fax:412-653-0755
Practice Address - Street 1:25 GILL HALL RD STE 2
Practice Address - Street 2:
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3004
Practice Address - Country:US
Practice Address - Phone:412-653-7566
Practice Address - Fax:412-653-0755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy