Provider Demographics
NPI:1790017424
Name:STUTZ, SHEREEN S (RPH)
Entity Type:Individual
Prefix:
First Name:SHEREEN
Middle Name:S
Last Name:STUTZ
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 1:162 SUNRISE DR
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-8801
Mailing Address - Country:US
Mailing Address - Phone:412-554-7882
Mailing Address - Fax:
Practice Address - Street 1:162 SUNRISE DR
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-8801
Practice Address - Country:US
Practice Address - Phone:412-825-8573
Practice Address - Fax:412-717-9013
Is Sole Proprietor?:No
Enumeration Date:2010-02-05
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038601L183500000X
PARP038501L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP038501LOtherLICENSE NUMBER