Provider Demographics
NPI:1043594641
Name:HAUPT, SHERI LYNN (RPH)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:LYNN
Last Name:HAUPT
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 1:5319 PULASKI HWY
Mailing Address - Street 2:
Mailing Address - City:PERRYVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21903-2606
Mailing Address - Country:US
Mailing Address - Phone:410-642-0003
Mailing Address - Fax:410-642-3052
Practice Address - Street 1:5319 PULASKI HWY
Practice Address - Street 2:
Practice Address - City:PERRYVILLE
Practice Address - State:MD
Practice Address - Zip Code:21903-2606
Practice Address - Country:US
Practice Address - Phone:410-642-0003
Practice Address - Fax:410-642-3052
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-01
Last Update Date:2011-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13124183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist