Provider Demographics
NPI:1013110253
Name:MCQUISTON, SHERRY CHRISTINE (RPH)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:CHRISTINE
Last Name:MCQUISTON
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 1:3166 OREGON DR
Mailing Address - Street 2:
Mailing Address - City:LOWER BURRELL
Mailing Address - State:PA
Mailing Address - Zip Code:15068-2836
Mailing Address - Country:US
Mailing Address - Phone:412-672-3200
Mailing Address - Fax:412-672-0643
Practice Address - Street 1:1550 OHIO AVENUE
Practice Address - Street 2:
Practice Address - City:WHITE OAK
Practice Address - State:PA
Practice Address - Zip Code:15131
Practice Address - Country:US
Practice Address - Phone:412-672-3200
Practice Address - Fax:412-672-0643
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031873L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist