Provider Demographics
NPI:1679805931
Name:AUSTERMAN, SHARON E (RPH)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:E
Last Name:AUSTERMAN
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 1:272 CRAIGHEAD RD
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37354-6035
Mailing Address - Country:US
Mailing Address - Phone:423-442-5791
Mailing Address - Fax:
Practice Address - Street 1:1802 DECATUR PIKE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-4984
Practice Address - Country:US
Practice Address - Phone:423-744-0282
Practice Address - Fax:423-744-1312
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000009715183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist