Provider Demographics
NPI:1790863124
Name:SHARBAUGH, BARBARA JO (RPH)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:JO
Last Name:SHARBAUGH
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 1:197 SOUTH CHURCH STREET
Mailing Address - Street 2:PO BOX 53
Mailing Address - City:CARROLLTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15722-0053
Mailing Address - Country:US
Mailing Address - Phone:814-344-8119
Mailing Address - Fax:
Practice Address - Street 1:2073 PLANK RD
Practice Address - Street 2:
Practice Address - City:CARROLLTOWN
Practice Address - State:PA
Practice Address - Zip Code:15722-6411
Practice Address - Country:US
Practice Address - Phone:814-344-9950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP035478L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist