Provider Demographics
NPI:1558677294
Name:USSEIN, SHENAY H (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:SHENAY
Middle Name:H
Last Name:USSEIN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4390 RICHMOND ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19137-1912
Mailing Address - Country:US
Mailing Address - Phone:215-533-6564
Mailing Address - Fax:215-288-3300
Practice Address - Street 1:4390 RICHMOND ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19137-1912
Practice Address - Country:US
Practice Address - Phone:215-533-6564
Practice Address - Fax:215-288-3300
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441291183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist