Provider Demographics
NPI:1023194230
Name:INGLE, SHEILA F (RPH)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:F
Last Name:INGLE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 S 11TH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4092
Mailing Address - Country:US
Mailing Address - Phone:253-383-5359
Mailing Address - Fax:253-383-4732
Practice Address - Street 1:1206 S 11TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4092
Practice Address - Country:US
Practice Address - Phone:253-383-5359
Practice Address - Fax:253-383-4732
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00010745183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist