Provider Demographics
NPI:1467585547
Name:SHARKEY, LAURIE (RPH)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:SHARKEY
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 1:80 SABIN RD
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-6080
Mailing Address - Country:US
Mailing Address - Phone:315-342-6822
Mailing Address - Fax:
Practice Address - Street 1:503 S 2ND ST
Practice Address - Street 2:RITE AID PHARMACY
Practice Address - City:FULTON
Practice Address - State:NY
Practice Address - Zip Code:13069
Practice Address - Country:US
Practice Address - Phone:315-593-2131
Practice Address - Fax:315-592-9517
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040938183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist