Provider Demographics
NPI:1245830587
Name:MOWERY, SHARON ANN
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ANN
Last Name:MOWERY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 COACHSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-8963
Mailing Address - Country:US
Mailing Address - Phone:724-255-2732
Mailing Address - Fax:
Practice Address - Street 1:215 COACHSIDE DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-8963
Practice Address - Country:US
Practice Address - Phone:724-255-2732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045079L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist