Provider Demographics
NPI:1770186520
Name:SHENAL, STEPHEN (PHARM D)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:SHENAL
Suffix:
Gender:M
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 1:239 BLACK OAK DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-2009
Mailing Address - Country:US
Mailing Address - Phone:724-880-6114
Mailing Address - Fax:
Practice Address - Street 1:3075 W LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15216-2460
Practice Address - Country:US
Practice Address - Phone:412-341-2269
Practice Address - Fax:412-341-2795
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444852183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist