Provider Demographics
NPI:1427321470
Name:TINSLEY, SHIRLEY ANN (RPH)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:ANN
Last Name:TINSLEY
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 1:834 SHERIDAN
Mailing Address - Street 2:PHARMACY DEPARTMENT
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98358
Mailing Address - Country:US
Mailing Address - Phone:360-385-2200
Mailing Address - Fax:360-385-6925
Practice Address - Street 1:834 SHERIDAN
Practice Address - Street 2:PHARMACY
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98358
Practice Address - Country:US
Practice Address - Phone:360-385-2200
Practice Address - Fax:360-385-6926
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH000712961835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist