Provider Demographics
NPI:1699774612
Name:SHUSTER, JOEL STUART (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:STUART
Last Name:SHUSTER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2204 JAMAICA DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-2828
Mailing Address - Country:US
Mailing Address - Phone:215-707-4986
Mailing Address - Fax:215-707-8326
Practice Address - Street 1:100 E LEHIGH AVE
Practice Address - Street 2:ROOM 325
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-1000
Practice Address - Country:US
Practice Address - Phone:215-707-9718
Practice Address - Fax:215-707-8326
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP027347L183500000X, 1835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1300XPharmacy Service ProvidersPharmacistPsychiatric