Provider Demographics
NPI:1568810828
Name:SHEEHAN, NORMAN C (RPH PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:C
Last Name:SHEEHAN
Suffix:
Gender:M
Credentials:RPH PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 DANADA SQUARE WEST
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187
Mailing Address - Country:US
Mailing Address - Phone:630-668-1211
Mailing Address - Fax:630-668-8935
Practice Address - Street 1:30 DANADA SQ W
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-2000
Practice Address - Country:US
Practice Address - Phone:630-668-1211
Practice Address - Fax:630-668-8935
Is Sole Proprietor?:No
Enumeration Date:2016-05-27
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051286051183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist