Provider Demographics
NPI:1790873321
Name:STOEHR, GINA LEE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:GINA
Middle Name:LEE
Last Name:STOEHR
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 1:814 VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1222
Mailing Address - Country:US
Mailing Address - Phone:412-563-2327
Mailing Address - Fax:
Practice Address - Street 1:814 VERMONT AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1222
Practice Address - Country:US
Practice Address - Phone:412-563-2327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP-040101-L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist