Provider Demographics
NPI:1053726703
Name:BAUN, STEPHANIE RAE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:RAE
Last Name:BAUN
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 1:6200 SALTSBURG RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-2066
Mailing Address - Country:US
Mailing Address - Phone:412-798-0490
Mailing Address - Fax:412-798-8856
Practice Address - Street 1:6200 SALTSBURG RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-2066
Practice Address - Country:US
Practice Address - Phone:412-798-0490
Practice Address - Fax:412-798-8856
Is Sole Proprietor?:No
Enumeration Date:2014-06-20
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP448228183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist