Provider Demographics
NPI:1760197479
Name:SHERIDAN, KAITLYN HARPER (PHARMD)
Entity Type:Individual
Prefix:
First Name:KAITLYN
Middle Name:HARPER
Last Name:SHERIDAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:JEAN
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:440 ARLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-3702
Mailing Address - Country:US
Mailing Address - Phone:609-276-0673
Mailing Address - Fax:
Practice Address - Street 1:707 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-2407
Practice Address - Country:US
Practice Address - Phone:484-862-3561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP4557811835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist