Provider Demographics
NPI:1427356807
Name:EASTON, SHARON MILES
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:MILES
Last Name:EASTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3210 BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-1456
Mailing Address - Country:US
Mailing Address - Phone:804-520-9641
Mailing Address - Fax:804-520-4296
Practice Address - Street 1:3210 BOULEVARD
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-1456
Practice Address - Country:US
Practice Address - Phone:804-520-9641
Practice Address - Fax:804-520-4296
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVA0202011841183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist