MEDICARE: SHARON SHOFF RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP031302L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013062066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON SHOFF RPH

Provider Business Mailing Address
First Line	:	233 BURKEY DR
Second Line	:
City	:	PORTAGE
State	:	PA
Zip	:	15946-7505
Country	:	US
Telephone Number	:	814-736-4325
Fax Number	:	814-736-9522

Provider Business Practice Location Address
First Line	:	619 MAIN ST
Second Line	:
City	:	PORTAGE
State	:	PA
Zip	:	15946-1539
Country	:	US
Telephone Number	:	814-736-4530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	07/08/2007

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Directions to “ SHARON SHOFF RPH” Practice Location

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