Provider Demographics
NPI:1316223258
Name:MINSHALL, VALERIE JOY (PHARMD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:JOY
Last Name:MINSHALL
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 1:4401 PENN AVE
Mailing Address - Street 2:MAIN PHARMACY, FIFTH FLOOR
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1334
Mailing Address - Country:US
Mailing Address - Phone:412-692-9506
Mailing Address - Fax:412-692-6566
Practice Address - Street 1:4401 PENN AVE
Practice Address - Street 2:MAIN PHARMACY, FIFTH FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1334
Practice Address - Country:US
Practice Address - Phone:412-692-9506
Practice Address - Fax:412-692-6566
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440264183500000X
PARPI001603183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist