Provider Demographics
NPI:1699123406
Name:PERKA, KENDRA (RPH)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:
Last Name:PERKA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:KENDRA
Other - Middle Name:LORAE
Other - Last Name:KNOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:7060 HIGHLAND DR
Mailing Address - Street 2:PHARMACY
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-1259
Mailing Address - Country:US
Mailing Address - Phone:412-665-6842
Mailing Address - Fax:412-665-6869
Practice Address - Street 1:7060 HIGHLAND DR
Practice Address - Street 2:PHARMACY
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-1259
Practice Address - Country:US
Practice Address - Phone:412-665-6842
Practice Address - Fax:412-665-6869
Is Sole Proprietor?:No
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041800L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist