Provider Demographics
NPI:1992086359
Name:MASLEID, SHARON ROSE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:ROSE
Last Name:MASLEID
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 MIRANDA AVE
Mailing Address - Street 2:PETNET SOLUTIONS DRC BLDG. 102 RM. 125
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1207
Mailing Address - Country:US
Mailing Address - Phone:650-496-2540
Mailing Address - Fax:650-496-2590
Practice Address - Street 1:3801 MIRANDA AVE
Practice Address - Street 2:PETNET SOLUTIONS DRC BLDG. 102 RM. 125
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1207
Practice Address - Country:US
Practice Address - Phone:650-496-2540
Practice Address - Fax:650-496-2590
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 581251835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N0905XPharmacy Service ProvidersPharmacistNuclear