Provider Demographics
NPI:1134324973
Name:MCNEIL PHILPOTT, SHARLENE ANN (RPH)
Entity type:Individual
Prefix:MRS
First Name:SHARLENE
Middle Name:ANN
Last Name:MCNEIL PHILPOTT
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 1:2256 SAXTONS RIVER RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89044-1036
Mailing Address - Country:US
Mailing Address - Phone:702-253-2734
Mailing Address - Fax:
Practice Address - Street 1:1031 NEVADA HWY
Practice Address - Street 2:
Practice Address - City:BOULDER CITY
Practice Address - State:NV
Practice Address - Zip Code:89005-1815
Practice Address - Country:US
Practice Address - Phone:702-293-6347
Practice Address - Fax:702-293-6274
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV16912183500000X
MA19363183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist