Provider Demographics
NPI:1831481134
Name:SHEFFIELD, CHARLES E (RPH)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:E
Last Name:SHEFFIELD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 PACIFIC BLVD SE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-4553
Mailing Address - Country:US
Mailing Address - Phone:541-812-0973
Mailing Address - Fax:
Practice Address - Street 1:3100 PACIFIC BLVD SE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321-4553
Practice Address - Country:US
Practice Address - Phone:541-812-0973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0005965183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist