Provider Demographics
NPI:1780153965
Name:ALIBEJI, ISRRA
Entity type:Individual
Prefix:MRS
First Name:ISRRA
Middle Name:
Last Name:ALIBEJI
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 1:1046 ARDMORE MANOR DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-4828
Mailing Address - Country:US
Mailing Address - Phone:412-736-3314
Mailing Address - Fax:
Practice Address - Street 1:1046 ARDMORE MANOR DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-4828
Practice Address - Country:US
Practice Address - Phone:412-736-3314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-18
Last Update Date:2018-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP452373183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist