Provider Demographics
NPI:1841893609
Name:PATEL, SHEENA KAUSHIK (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHEENA
Middle Name:KAUSHIK
Last Name:PATEL
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 1:30 WHITE OAK BLVD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-7939
Mailing Address - Country:US
Mailing Address - Phone:717-829-9225
Mailing Address - Fax:
Practice Address - Street 1:1270 YORK RD
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-7562
Practice Address - Country:US
Practice Address - Phone:717-334-1313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP448969183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist