Provider Demographics
NPI:1063408938
Name:ARSTEIN, SHAWN ROBERT (BS PHARMACY)
Entity type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:ROBERT
Last Name:ARSTEIN
Suffix:
Gender:M
Credentials:BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 SYNERGY HL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4892
Mailing Address - Country:US
Mailing Address - Phone:210-885-0099
Mailing Address - Fax:210-682-2533
Practice Address - Street 1:11311 BANDERA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-6812
Practice Address - Country:US
Practice Address - Phone:210-682-2533
Practice Address - Fax:210-682-2533
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43018183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist