Provider Demographics
NPI:1962455501
Name:STOYELL, SHARON PATRICIA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:PATRICIA
Last Name:STOYELL
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 1:4980 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-9721
Mailing Address - Country:US
Mailing Address - Phone:716-550-0955
Mailing Address - Fax:
Practice Address - Street 1:11342 MAIN ST
Practice Address - Street 2:
Practice Address - City:CLARENCE
Practice Address - State:NY
Practice Address - Zip Code:14031-1718
Practice Address - Country:US
Practice Address - Phone:716-253-6502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS31288183500000X
VA0202216349183500000X
TX61591183500000X
SC37564183500000X
MI5302046289183500000X
MST-15184183500000X
NY044159-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist