MEDICARE: MR. ROBERT O SHERMAN 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	PP413290L-	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PP413290L	OTHER	PA	PA PHARMACIST LICENSE

General Provider Information

NPI Number	:	1972590255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT O SHERMAN RPH

Provider Business Mailing Address
First Line	:	1256 MAIN ST
Second Line	:
City	:	AKRON
State	:	PA
Zip	:	17501-1628
Country	:	US
Telephone Number	:	717-859-3858
Fax Number	:	717-859-1944

Provider Business Practice Location Address
First Line	:	113 S 7TH ST
Second Line	:
City	:	AKRON
State	:	PA
Zip	:	17501-1332
Country	:	US
Telephone Number	:	717-859-4911
Fax Number	:	717-859-4949

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

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	07/08/2007

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Directions to “ MR. ROBERT O SHERMAN RPH” Practice Location

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