Provider Demographics
NPI:1518266444
Name:SHOVLIN, CHERYL ANN (RPH)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:SHOVLIN
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 1:309-11 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17101
Mailing Address - Country:US
Mailing Address - Phone:717-234-6149
Mailing Address - Fax:717-232-1486
Practice Address - Street 1:309 MARKET ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17101-2207
Practice Address - Country:US
Practice Address - Phone:717-234-6149
Practice Address - Fax:717-232-1486
Is Sole Proprietor?:No
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP036130L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist