Provider Demographics
NPI:1487747630
Name:SHARON PHARMACY INC
Entity type:Organization
Organization Name:SHARON PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:HEACOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-364-5272
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:CT
Mailing Address - Zip Code:06069-0116
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8 GAY ST
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:CT
Practice Address - Zip Code:06069-0116
Practice Address - Country:US
Practice Address - Phone:860-364-5272
Practice Address - Fax:860-364-2215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT294332B00000X, 3336C0003X
CT0294333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered333600000XSuppliersPharmacy
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0706347OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0706347OtherOTHER ID NUMBER-COMMERCIAL NUMBER