Provider Demographics
NPI:1083989099
Name:PAJU, SHENNA (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:SHENNA
Middle Name:
Last Name:PAJU
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:SHENNA
Other - Middle Name:
Other - Last Name:COTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, RPH
Mailing Address - Street 1:46 ASHBROOK RD
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431
Mailing Address - Country:US
Mailing Address - Phone:603-354-2165
Mailing Address - Fax:603-354-2155
Practice Address - Street 1:46 ASH BROOK RD
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-5918
Practice Address - Country:US
Practice Address - Phone:603-354-2165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3440183500000X
MA232487183500000X
NY054369183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist