Provider Demographics
NPI:1457673899
Name:WERHNYAK, RACHEL RENE (PHARMD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:RENE
Last Name:WERHNYAK
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 1:1566 W MAIN STREET EXT
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16127-4432
Mailing Address - Country:US
Mailing Address - Phone:724-458-5977
Mailing Address - Fax:724-458-0538
Practice Address - Street 1:1566 W MAIN STREET EXT
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:PA
Practice Address - Zip Code:16127-4432
Practice Address - Country:US
Practice Address - Phone:724-458-5977
Practice Address - Fax:724-458-0538
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439434L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP439434LOtherPA LICENSE NUMBER