Provider Demographics
NPI:1841405644
Name:PEDIGO, SHEILA ANNE (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:ANNE
Last Name:PEDIGO
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 1:2129 WATERS MILL PT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-2914
Mailing Address - Country:US
Mailing Address - Phone:804-323-1895
Mailing Address - Fax:
Practice Address - Street 1:2129 WATERS MILL PT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-2914
Practice Address - Country:US
Practice Address - Phone:804-323-1895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02020061521835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy