Provider Demographics
NPI:1609400670
Name:SHARKEY, MARLA JEAN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARLA
Middle Name:JEAN
Last Name:SHARKEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:MARLA
Other - Middle Name:JEAN
Other - Last Name:NOVOTNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:159 GREENLEA DR
Mailing Address - Street 2:
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-2647
Mailing Address - Country:US
Mailing Address - Phone:724-624-2009
Mailing Address - Fax:
Practice Address - Street 1:623 E OHIO ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-5619
Practice Address - Country:US
Practice Address - Phone:412-322-1566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP040934L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist