Provider Demographics
NPI:1821271875
Name:SHARA, NORA M (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:NORA
Middle Name:M
Last Name:SHARA
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 MAIDSTONE DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-9180
Mailing Address - Country:US
Mailing Address - Phone:585-265-4522
Mailing Address - Fax:
Practice Address - Street 1:5651 WHISKEY HILL ROAD
Practice Address - Street 2:
Practice Address - City:WOLCOTT
Practice Address - State:NY
Practice Address - Zip Code:14590-9379
Practice Address - Country:US
Practice Address - Phone:315-594-2987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044702183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist