Provider Demographics
NPI:1770679672
Name:SHARMKEE INC
Entity Type:Organization
Organization Name:SHARMKEE INC
Other - Org Name:EASTON DRUG COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:WILCOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-696-6333
Mailing Address - Street 1:PO BOX 457
Mailing Address - Street 2:
Mailing Address - City:CARUTHERS
Mailing Address - State:CA
Mailing Address - Zip Code:93609-0457
Mailing Address - Country:US
Mailing Address - Phone:559-237-0332
Mailing Address - Fax:
Practice Address - Street 1:5796 S ELM AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93706-5813
Practice Address - Country:US
Practice Address - Phone:559-264-2965
Practice Address - Fax:559-264-3160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY133603336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA133600Medicaid
0532603OtherNCPDP PROVIDER IDENTIFICATION NUMBER