Provider Demographics
NPI:1750987020
Name:MCDONOUGH, ANN S
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:S
Last Name:MCDONOUGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UPMC CHILDREN'S HOSPITAL PHARMACY 5TH FLOOR
Mailing Address - Street 2:4401 PENN AVENUE
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224
Mailing Address - Country:US
Mailing Address - Phone:412-692-6267
Mailing Address - Fax:412-692-6734
Practice Address - Street 1:UPMC CHILDREN'S HOSPITAL PHARMACY 5TH FLOOR
Practice Address - Street 2:4401 PENN AVENUE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224
Practice Address - Country:US
Practice Address - Phone:412-692-6267
Practice Address - Fax:412-692-6734
Is Sole Proprietor?:No
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA031802L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist