Healthcare Provider Details

I. General information

NPI: 1396288379
Provider Name (Legal Business Name): HEATHER HENSCHEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2016
Last Update Date: 11/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 NOBLESTOWN RD
PITTSBURGH PA
15205-4146
US

IV. Provider business mailing address

2270 NOBLESTOWN RD
PITTSBURGH PA
15205-4146
US

V. Phone/Fax

Practice location:
  • Phone: 412-920-6190
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP450922
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: