Provider Demographics
NPI:1912262049
Name:PILKINGTON, SHEILA (RPH)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:PILKINGTON
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 1:1107 8TH ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:WA
Mailing Address - Zip Code:99403-2503
Mailing Address - Country:US
Mailing Address - Phone:509-751-7799
Mailing Address - Fax:
Practice Address - Street 1:400 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:WA
Practice Address - Zip Code:99403-1931
Practice Address - Country:US
Practice Address - Phone:509-758-7475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-04
Last Update Date:2012-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00017611183500000X
IDP4892183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist