MEDICARE: DR. SHELBY LYNN RESCH PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP452688	PA

General Provider Information

NPI Number	:	1558988063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHELBY LYNN RESCH PHARMD

Provider Business Mailing Address
First Line	:	7406 CHURCH ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-2431
Country	:	US
Telephone Number	:	412-271-6733
Fax Number	:	412-271-0208

Provider Business Practice Location Address
First Line	:	7406 CHURCH ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-2431
Country	:	US
Telephone Number	:	412-271-6733
Fax Number	:	412-271-0208

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2020
Last Update Date	:	06/30/2020

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