Provider Demographics
NPI:1841164472
Name:ELDER, SYDNEY VICTORIA (PHARMD, MSMED)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:VICTORIA
Last Name:ELDER
Suffix:
Gender:F
Credentials:PHARMD, MSMED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9426 SUNSHINE LN
Mailing Address - Street 2:
Mailing Address - City:WATTSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16442-9704
Mailing Address - Country:US
Mailing Address - Phone:814-529-2559
Mailing Address - Fax:
Practice Address - Street 1:5515 PEACH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-2603
Practice Address - Country:US
Practice Address - Phone:814-868-7720
Practice Address - Fax:814-868-7799
Is Sole Proprietor?:No
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP459401183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist