Provider Demographics
NPI:1144537267
Name:SIKES, JOHN EDWARD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:EDWARD
Last Name:SIKES
Suffix:
Gender:M
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:PO BOX 231
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:NC
Mailing Address - Zip Code:28330-0231
Mailing Address - Country:US
Mailing Address - Phone:910-331-2676
Mailing Address - Fax:
Practice Address - Street 1:934 S LONG DR
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-4815
Practice Address - Country:US
Practice Address - Phone:910-997-3137
Practice Address - Fax:910-997-6863
Is Sole Proprietor?:No
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21017183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist