Provider Demographics
NPI:1982184495
Name:MITRA, SNEHA (PHARMD)
Entity Type:Individual
Prefix:
First Name:SNEHA
Middle Name:
Last Name:MITRA
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 1:541 HAMILTON ST.
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18101
Mailing Address - Country:US
Mailing Address - Phone:484-705-1783
Mailing Address - Fax:713-741-5049
Practice Address - Street 1:541 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101
Practice Address - Country:US
Practice Address - Phone:412-487-5706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP452964183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist