Provider Demographics
NPI:1639779093
Name:SFERRA, CHARESE (RPH)
Entity type:Individual
Prefix:MS
First Name:CHARESE
Middle Name:
Last Name:SFERRA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:998 MCLEOD PARC
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8995
Mailing Address - Country:US
Mailing Address - Phone:724-974-9211
Mailing Address - Fax:
Practice Address - Street 1:3657 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:OH
Practice Address - Zip Code:43213-2924
Practice Address - Country:US
Practice Address - Phone:614-239-7805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03223116183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist