Provider Demographics
NPI:1851333132
Name:HARTPENCE, SHERRY A (RPH)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:A
Last Name:HARTPENCE
Suffix:
Gender:F
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:PO BOX 155
Mailing Address - Street 2:1730 MADISONVILLE ROAD
Mailing Address - City:MOSCOW
Mailing Address - State:PA
Mailing Address - Zip Code:18444-0155
Mailing Address - Country:US
Mailing Address - Phone:570-842-1391
Mailing Address - Fax:
Practice Address - Street 1:RR 6
Practice Address - Street 2:
Practice Address - City:MOSCOW
Practice Address - State:PA
Practice Address - Zip Code:18444-9806
Practice Address - Country:US
Practice Address - Phone:570-842-6766
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP032364L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist