Provider Demographics
NPI:1346400124
Name:SHPILMAN, TATYANA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:TATYANA
Middle Name:
Last Name:SHPILMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13307 NEW HAMPSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:COLESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20904-3435
Mailing Address - Country:US
Mailing Address - Phone:301-384-0487
Mailing Address - Fax:301-384-1685
Practice Address - Street 1:13307 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:COLESVILLE
Practice Address - State:MD
Practice Address - Zip Code:20904-3435
Practice Address - Country:US
Practice Address - Phone:301-384-0487
Practice Address - Fax:301-384-1685
Is Sole Proprietor?:No
Enumeration Date:2008-06-14
Last Update Date:2008-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18079183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist