Provider Demographics
NPI:1033754445
Name:GEORGE, SHERIN ABRAHAM (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SHERIN
Middle Name:ABRAHAM
Last Name:GEORGE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17105 SAN CARLOS BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33931-5305
Mailing Address - Country:US
Mailing Address - Phone:239-340-7073
Mailing Address - Fax:
Practice Address - Street 1:15320 SONOMA DR APT 108
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-7302
Practice Address - Country:US
Practice Address - Phone:954-907-9981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-08
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS55999183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist