Provider Demographics
NPI:1164503306
Name:SHIRKEY, FORREST WILLIAM (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:FORREST
Middle Name:WILLIAM
Last Name:SHIRKEY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 H STREET UNIT B
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3413
Mailing Address - Country:US
Mailing Address - Phone:415-531-4961
Mailing Address - Fax:
Practice Address - Street 1:4001 J ST
Practice Address - Street 2:MERCY GENERAL HOSPITAL
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3626
Practice Address - Country:US
Practice Address - Phone:916-453-4567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH58547183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist