Provider Demographics
NPI:1851401343
Name:SHEAFFER, SHELIA MAE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SHELIA
Middle Name:MAE
Last Name:SHEAFFER
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 1:1678 PISGAH STATE RD
Mailing Address - Street 2:
Mailing Address - City:SHERMANS DALE
Mailing Address - State:PA
Mailing Address - Zip Code:17090-8748
Mailing Address - Country:US
Mailing Address - Phone:717-582-3108
Mailing Address - Fax:
Practice Address - Street 1:219 N BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:17065-1204
Practice Address - Country:US
Practice Address - Phone:717-486-8606
Practice Address - Fax:717-486-4410
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA033665L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist