Provider Demographics
NPI:1649307539
Name:STEGMAN, SHERI ANN (RPH)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:ANN
Last Name:STEGMAN
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 1:4590 COUNTY ROAD 20
Mailing Address - Street 2:
Mailing Address - City:MOUNT GILEAD
Mailing Address - State:OH
Mailing Address - Zip Code:43338-9545
Mailing Address - Country:US
Mailing Address - Phone:419-947-1180
Mailing Address - Fax:
Practice Address - Street 1:25 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNT GILEAD
Practice Address - State:OH
Practice Address - Zip Code:43338-1445
Practice Address - Country:US
Practice Address - Phone:419-946-5911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-17274183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist