Provider Demographics
NPI:1396052486
Name:BECKSTEAD, SHARON KAY (RPH)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:KAY
Last Name:BECKSTEAD
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 1:279 CLUBHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-9286
Mailing Address - Country:US
Mailing Address - Phone:814-931-1090
Mailing Address - Fax:
Practice Address - Street 1:100 PARK HILLS PLAZA
Practice Address - Street 2:WEIS PHARMACY
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602
Practice Address - Country:US
Practice Address - Phone:814-941-5442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033041L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist