Provider Demographics
NPI:1538491659
Name:FINCKE, JESSICA MARRAWAY (PHARMD)
Entity type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:MARRAWAY
Last Name:FINCKE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:JESSICA
Other - Middle Name:MARRAWAY
Other - Last Name:BOYD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:401 LONG DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2006
Mailing Address - Country:US
Mailing Address - Phone:412-979-9995
Mailing Address - Fax:
Practice Address - Street 1:3000 ERICSSON DR STE 100
Practice Address - Street 2:
Practice Address - City:WARRENDALE
Practice Address - State:PA
Practice Address - Zip Code:15086-6501
Practice Address - Country:US
Practice Address - Phone:724-772-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442948183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist