Provider Demographics
NPI:1871818179
Name:HINSU, SHITAL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHITAL
Middle Name:
Last Name:HINSU
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 1:570 W DEKALB PIKE APT 206
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3071
Mailing Address - Country:US
Mailing Address - Phone:610-265-2172
Mailing Address - Fax:
Practice Address - Street 1:600 ALLENDALE RD
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-4054
Practice Address - Country:US
Practice Address - Phone:610-962-0506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439549183500000X
NJ28RI03320600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist