Provider Demographics
NPI:1053431304
Name:SHIBER, MICHAEL J (RPH)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:J
Last Name:SHIBER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19830 DAWSON CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:RAWLINGS
Mailing Address - State:MD
Mailing Address - Zip Code:21557-1904
Mailing Address - Country:US
Mailing Address - Phone:301-786-4859
Mailing Address - Fax:301-786-4859
Practice Address - Street 1:19830 DAWSON CEMETERY RD
Practice Address - Street 2:
Practice Address - City:RAWLINGS
Practice Address - State:MD
Practice Address - Zip Code:21557-1904
Practice Address - Country:US
Practice Address - Phone:301-786-4859
Practice Address - Fax:301-786-4859
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP040815L1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy