Provider Demographics
NPI:1295611762
Name:HEIN, MARINA RAYE (PHARMD)
Entity type:Individual
Prefix:
First Name:MARINA
Middle Name:RAYE
Last Name:HEIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3314 EVERGREEN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-2651
Mailing Address - Country:US
Mailing Address - Phone:412-354-2187
Mailing Address - Fax:
Practice Address - Street 1:508 E PLANK RD
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-4115
Practice Address - Country:US
Practice Address - Phone:814-944-3236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP459579183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist