Provider Demographics
NPI:1730237298
Name:SAENZ, RAFAEL (PHARMD, MS)
Entity type:Individual
Prefix:
First Name:RAFAEL
Middle Name:
Last Name:SAENZ
Suffix:
Gender:M
Credentials:PHARMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 JEFFERSON DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-2158
Mailing Address - Country:US
Mailing Address - Phone:412-647-3392
Mailing Address - Fax:412-647-9694
Practice Address - Street 1:200 LOTHROP ST
Practice Address - Street 2:SUITE G119
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2536
Practice Address - Country:US
Practice Address - Phone:412-647-3392
Practice Address - Fax:412-647-9694
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441188183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist