Provider Demographics
NPI:1700966488
Name:SHARBAUGH, NEIL ANDREW (RPH)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:ANDREW
Last Name:SHARBAUGH
Suffix:
Gender:M
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:PO BOX 563
Mailing Address - Street 2:
Mailing Address - City:CARROLLTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15722-0563
Mailing Address - Country:US
Mailing Address - Phone:814-344-6559
Mailing Address - Fax:
Practice Address - Street 1:2073 PLANK ROAD
Practice Address - Street 2:
Practice Address - City:CARROLLTOWN
Practice Address - State:PA
Practice Address - Zip Code:15722
Practice Address - Country:US
Practice Address - Phone:814-344-9950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP035477L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist