Provider Demographics
NPI:1295883510
Name:SHERK, JACOB M (RPH)
Entity type:Individual
Prefix:MR
First Name:JACOB
Middle Name:M
Last Name:SHERK
Suffix:
Gender:
Credentials:RPH
Other - Prefix:
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Mailing Address - Street 1:314 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-2413
Mailing Address - Country:US
Mailing Address - Phone:717-367-1785
Mailing Address - Fax:
Practice Address - Street 1:428 CLOVERLEAF RD
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-9320
Practice Address - Country:US
Practice Address - Phone:717-653-6888
Practice Address - Fax:717-653-9569
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033731L1835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition Support