Provider Demographics
NPI:1356819775
Name:DEFRANCO, SHERI L
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:L
Last Name:DEFRANCO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 BLUE VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:PEN ARGYL
Mailing Address - State:PA
Mailing Address - Zip Code:18072-1825
Mailing Address - Country:US
Mailing Address - Phone:610-863-3314
Mailing Address - Fax:610-863-3316
Practice Address - Street 1:1309 BLUE VALLEY DR
Practice Address - Street 2:
Practice Address - City:PEN ARGYL
Practice Address - State:PA
Practice Address - Zip Code:18072-1825
Practice Address - Country:US
Practice Address - Phone:610-863-3314
Practice Address - Fax:610-863-3316
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-03
Last Update Date:2018-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038255L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist