Provider Demographics
NPI:1023163821
Name:LIVINGSTON PHARMACY INC.
Entity type:Organization
Organization Name:LIVINGSTON PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:LIVINGSTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:412-233-7100
Mailing Address - Street 1:550 MILLER AVE
Mailing Address - Street 2:
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-1744
Mailing Address - Country:US
Mailing Address - Phone:412-233-7100
Mailing Address - Fax:412-233-3032
Practice Address - Street 1:550 MILLER AVE
Practice Address - Street 2:
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-1744
Practice Address - Country:US
Practice Address - Phone:412-233-7100
Practice Address - Fax:412-233-3032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP411398L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0701010001Medicare ID - Type Unspecified
PA0559444Medicare ID - Type Unspecified