Provider Demographics
NPI:1710167978
Name:DUKES, SHEILA B (RPH)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:B
Last Name:DUKES
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 1:25 ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014-0995
Mailing Address - Country:US
Mailing Address - Phone:678-342-8979
Mailing Address - Fax:
Practice Address - Street 1:25 ORCHARD DR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-0995
Practice Address - Country:US
Practice Address - Phone:678-342-8979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA16966183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist