Provider Demographics
NPI:1821066523
Name:SHEAFFER, LISA K (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:K
Last Name:SHEAFFER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 TALON DR
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-8764
Mailing Address - Country:US
Mailing Address - Phone:717-859-2157
Mailing Address - Fax:
Practice Address - Street 1:70 TALON DR
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-8764
Practice Address - Country:US
Practice Address - Phone:717-859-2157
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438439183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist