Provider Demographics
NPI:1588056550
Name:ROSENFELD, SHAINA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:SHAINA
Middle Name:
Last Name:ROSENFELD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 E HILLSBOROUGH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-4424
Mailing Address - Country:US
Mailing Address - Phone:813-237-1282
Mailing Address - Fax:813-237-6454
Practice Address - Street 1:2525 E HILLSBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-4424
Practice Address - Country:US
Practice Address - Phone:813-237-1282
Practice Address - Fax:813-237-6454
Is Sole Proprietor?:No
Enumeration Date:2015-02-26
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS49495183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist