Provider Demographics
NPI:1679751523
Name:PHIPPS, SHEILA DUYKA (RPH)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:DUYKA
Last Name:PHIPPS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:DUYKA
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:4061 SARA CT
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-3147
Mailing Address - Country:US
Mailing Address - Phone:805-937-0751
Mailing Address - Fax:
Practice Address - Street 1:1400 E CHURCH ST
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-5906
Practice Address - Country:US
Practice Address - Phone:805-739-3459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-02
Last Update Date:2008-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA583011835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric