Provider Demographics
NPI:1841399250
Name:GOEBEL, SHEILA LYNN (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:SHEILA
Middle Name:LYNN
Last Name:GOEBEL
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 1:2508 E HOWELL ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-3032
Mailing Address - Country:US
Mailing Address - Phone:205-335-2862
Mailing Address - Fax:
Practice Address - Street 1:2508 E HOWELL ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-3032
Practice Address - Country:US
Practice Address - Phone:205-823-1832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60143130183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist