Provider Demographics
NPI:1689802035
Name:PODNAR, SHIRLEY (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:
Last Name:PODNAR
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:UNIVERSITY DRIVE C MAIL STOP 151 CTU
Mailing Address - Street 2:VAPHS DEPARTMENT OF PHARMACY
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15240
Mailing Address - Country:US
Mailing Address - Phone:412-360-3260
Mailing Address - Fax:412-360-6199
Practice Address - Street 1:UNIVERSITY DRIVE C MAIL STOP 151 CTU
Practice Address - Street 2:VAPHS DEPARTMENT OF PHARMACY
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240
Practice Address - Country:US
Practice Address - Phone:412-360-3260
Practice Address - Fax:412-360-6199
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-24
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039540R183500000X
WVRP0004755183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist