Provider Demographics
NPI:1336881804
Name:SHEEHANS PHARMACY INC
Entity Type:Organization
Organization Name:SHEEHANS PHARMACY INC
Other - Org Name:SHEEHANS PHARMACY LTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:J
Authorized Official - Last Name:OBEID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-823-3151
Mailing Address - Street 1:79 E CAREY ST
Mailing Address - Street 2:
Mailing Address - City:PLAINS
Mailing Address - State:PA
Mailing Address - Zip Code:18705-2007
Mailing Address - Country:US
Mailing Address - Phone:570-823-3151
Mailing Address - Fax:570-823-6742
Practice Address - Street 1:79 E CAREY ST
Practice Address - Street 2:
Practice Address - City:PLAINS
Practice Address - State:PA
Practice Address - Zip Code:18705-2007
Practice Address - Country:US
Practice Address - Phone:570-823-3151
Practice Address - Fax:570-823-6742
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHEEHANS PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-13
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy