Provider Demographics
NPI:1902188584
Name:TABERNERO, SHARLYN R (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHARLYN
Middle Name:R
Last Name:TABERNERO
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 1:3502 UPTON RD
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-3335
Mailing Address - Country:US
Mailing Address - Phone:410-382-2750
Mailing Address - Fax:
Practice Address - Street 1:1201 E CHURCHVILLE RD
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-3411
Practice Address - Country:US
Practice Address - Phone:410-399-9691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19801183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist