Provider Demographics
NPI:1194044172
Name:SHEEHAN-GOREN, ANNE MARIE (BSC IN PHARMACY)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:SHEEHAN-GOREN
Suffix:
Gender:F
Credentials:BSC IN PHARMACY
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:MARIE
Other - Last Name:SHEEHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSC IN PHARMACY
Mailing Address - Street 1:81 AUTUMN DR
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1764
Mailing Address - Country:US
Mailing Address - Phone:215-579-9258
Mailing Address - Fax:
Practice Address - Street 1:600 LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:FAIRLESS HILLS
Practice Address - State:PA
Practice Address - Zip Code:19030-1400
Practice Address - Country:US
Practice Address - Phone:215-295-0150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-31
Last Update Date:2010-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP027371L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist