Provider Demographics
NPI:1982782371
Name:LEARY, SHARON A (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:A
Last Name:LEARY
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 1:5061 CHAPMAN PKWY
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-5514
Mailing Address - Country:US
Mailing Address - Phone:716-627-3060
Mailing Address - Fax:716-627-3129
Practice Address - Street 1:4481 LAKE SHORE RD
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-2404
Practice Address - Country:US
Practice Address - Phone:716-627-3060
Practice Address - Fax:716-627-3129
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY29583183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist