Provider Demographics
NPI:1386962157
Name:STDENIS, JANET KANIA (RPH)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:KANIA
Last Name:STDENIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 PARTRIDGE RUN RD
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-7922
Mailing Address - Country:US
Mailing Address - Phone:724-443-3732
Mailing Address - Fax:412-436-1094
Practice Address - Street 1:3601 5TH AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3403
Practice Address - Country:US
Practice Address - Phone:412-802-6552
Practice Address - Fax:412-436-1094
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP029156L183500000X
PARP1000812183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist