Provider Demographics
NPI:1578808044
Name:ADER, SHEILA G (PHARMD,BCPS)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:G
Last Name:ADER
Suffix:
Gender:F
Credentials:PHARMD,BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 JOHNSON ST
Mailing Address - Street 2:PHARMACY DEPARTMENT
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-5421
Mailing Address - Country:US
Mailing Address - Phone:954-265-5507
Mailing Address - Fax:954-985-5194
Practice Address - Street 1:3501 JOHNSON ST
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5421
Practice Address - Country:US
Practice Address - Phone:954-265-5507
Practice Address - Fax:954-985-5194
Is Sole Proprietor?:No
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS17399183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist