Provider Demographics
NPI:1275153801
Name:SHIRLEY, LEIGH ANN (RPH)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANN
Last Name:SHIRLEY
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 1:1149 HARRISBURG PIKE
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-1667
Mailing Address - Country:US
Mailing Address - Phone:717-240-1506
Mailing Address - Fax:
Practice Address - Street 1:1149 HARRISBURG PIKE
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-1667
Practice Address - Country:US
Practice Address - Phone:717-240-1506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-23
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037283L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist