Provider Demographics
NPI:1902529803
Name:EARHART, SHEILA LYNNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:LYNNE
Last Name:EARHART
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 1:3110 N RIDGE RD APT 520
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-1240
Mailing Address - Country:US
Mailing Address - Phone:412-628-1024
Mailing Address - Fax:
Practice Address - Street 1:2014 W 21ST ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-2107
Practice Address - Country:US
Practice Address - Phone:316-821-9678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-1176361835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist