Provider Demographics
NPI:1689983256
Name:SYLVIA, SHARI D (RPH)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:D
Last Name:SYLVIA
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 1:107 QUAIL RUN
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32327-1654
Mailing Address - Country:US
Mailing Address - Phone:850-925-7700
Mailing Address - Fax:
Practice Address - Street 1:107 QUAIL RUN
Practice Address - Street 2:
Practice Address - City:CRAWFORDVILLE
Practice Address - State:FL
Practice Address - Zip Code:32327-1654
Practice Address - Country:US
Practice Address - Phone:850-925-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS23300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist