Provider Demographics
NPI:1033703046
Name:KHALIL, SHEREEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHEREEN
Middle Name:
Last Name:KHALIL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 MOUNTAIN LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-1750
Mailing Address - Country:US
Mailing Address - Phone:972-697-1412
Mailing Address - Fax:
Practice Address - Street 1:5401 PARK SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-3418
Practice Address - Country:US
Practice Address - Phone:817-466-0677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68096183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist