Provider Demographics
NPI:1003040494
Name:PERRY, SHARON LYNN (RPH)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:LYNN
Last Name:PERRY
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 1:6612 ASCOT CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-7333
Mailing Address - Country:US
Mailing Address - Phone:919-870-7100
Mailing Address - Fax:919-676-6294
Practice Address - Street 1:13300 STRICKLAND RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-5220
Practice Address - Country:US
Practice Address - Phone:919-870-7100
Practice Address - Fax:919-676-6294
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8778183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist