Provider Demographics
NPI:1558696708
Name:GRUNHURD, SHEILA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:
Last Name:GRUNHURD
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 1:4299 MERIDIAN ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-6475
Mailing Address - Country:US
Mailing Address - Phone:360-738-7851
Mailing Address - Fax:360-671-9572
Practice Address - Street 1:4299 MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-6475
Practice Address - Country:US
Practice Address - Phone:360-738-7851
Practice Address - Fax:360-671-9572
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00014352183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist