| Doctor Name: | DR. NICOLE N. D'ANTONIO |
| NPI Number: | 1093159576 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHARMD, BCPS |
| License Number: | RP444922 |
| Business Practice Address: | 2347 Fifth Ave Mckeesport, PA - 151321126 |
| Business Phone Number: | 4126735504 |
| Business Fax Number: | |
| Mailing Address: | 1500 Fifth Ave, Pharmacy Department MCKEESPORT |
| State: | PA |
| Postal Code: | 151322422 |
| Phone Number: | 4126642288 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2013 |
| NPI Last Update Date: | 04/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835P0018X |
| License Number: | RP444922 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |