Provider Demographics
NPI:1639465826
Name:BACHTELL, TARRA SHEA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TARRA
Middle Name:SHEA
Last Name:BACHTELL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 NORLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4204
Mailing Address - Country:US
Mailing Address - Phone:717-709-2060
Mailing Address - Fax:
Practice Address - Street 1:913 NORLAND AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4204
Practice Address - Country:US
Practice Address - Phone:717-709-2060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-26
Last Update Date:2011-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438820183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist