Provider Demographics
NPI:1447520556
Name:MENG, SHU (RPH)
Entity type:Individual
Prefix:MRS
First Name:SHU
Middle Name:
Last Name:MENG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:SHU
Other - Middle Name:
Other - Last Name:MONAHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:7151 RUTLAND ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-1116
Mailing Address - Country:US
Mailing Address - Phone:215-745-3976
Mailing Address - Fax:
Practice Address - Street 1:7151 RUTLAND ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-1116
Practice Address - Country:US
Practice Address - Phone:215-745-3976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA442437183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist