Provider Demographics
NPI:1497243562
Name:CONKLIN, SHARON LYNN (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:LYNN
Last Name:CONKLIN
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5714 ASH DR
Mailing Address - Street 2:
Mailing Address - City:ROELAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2858
Mailing Address - Country:US
Mailing Address - Phone:913-660-5093
Mailing Address - Fax:
Practice Address - Street 1:2803 S 47TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66106-3630
Practice Address - Country:US
Practice Address - Phone:913-831-4140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-10800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist