Provider Demographics
NPI:1043815087
Name:LEHENY, SHELBY (PHARMACY D)
Entity Type:Individual
Prefix:DR
First Name:SHELBY
Middle Name:
Last Name:LEHENY
Suffix:
Gender:F
Credentials:PHARMACY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26500 AMHEARST CIR APT 205
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-8504
Mailing Address - Country:US
Mailing Address - Phone:724-683-1032
Mailing Address - Fax:
Practice Address - Street 1:140 SOLON RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-3702
Practice Address - Country:US
Practice Address - Phone:440-439-5766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0323668183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0323668OtherBOARD OF PHARMACY