Individual ProviderKyle Mark SpaniolPharmacistPharmacy Service ProvidersPractice Address1740 Washington Rd, Pittsburgh, PA 15241-1411(412) 833-0545PECOS EnrollmentBased on the most recent information from CMS, provider Kyle Mark Spaniol does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1932799913Provider TypeIndividualFull NameSpaniol, Kyle MarkGenderMaleSole ProprietorNoEnumeration Date1/22/2021Last Updated1/22/2021Contact InformationPractice LocationPractice Address1740 Washington Rd, Pittsburgh, PA 15241-1411Phone(412) 833-0545FaxUnlisted FaxMailing LocationMailing Address1740 Washington Rd, Pittsburgh, PA 15241-1411Phone(412) 833-0545FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP449107Pennsylvania