Most Relevant Information
Provider Data
| NPI Number: | 1003487844 |
| Provider Name: | SHANE ANTHONY SHEREDY PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 03440663 |
Most Important Dates
| Enumeration Date: | 07/02/2021 |
| Last Updated: | 07/02/2021 |
Provider Practice Location
410 W 10TH AVE
COLUMBUS
OH
432101240
Practice Location Phone/Fax
| Phone: | 6142938000 |
| Fax: |
Provider Mailing Location
410 W 10TH AVE
COLUMBUS
OH
432101240
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |