Provider Demographics
NPI:1497576383
Name:SAHAL-GREEN, SHAINA S (PHARMD)
Entity type:Individual
Prefix:
First Name:SHAINA
Middle Name:S
Last Name:SAHAL-GREEN
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 1:1422 SOM CENTER RD APT 418
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2109
Mailing Address - Country:US
Mailing Address - Phone:920-418-2811
Mailing Address - Fax:
Practice Address - Street 1:7500 AUBURN RD STE 2300
Practice Address - Street 2:
Practice Address - City:CONCORD TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:44077-9612
Practice Address - Country:US
Practice Address - Phone:216-545-8389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03444914183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist