Provider Demographics
NPI:1043336423
Name:GRASSIE, SHERRI W
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:W
Last Name:GRASSIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 LAUREL LN
Mailing Address - Street 2:
Mailing Address - City:SOMERSWORTH
Mailing Address - State:NH
Mailing Address - Zip Code:03878-1113
Mailing Address - Country:US
Mailing Address - Phone:603-743-3697
Mailing Address - Fax:
Practice Address - Street 1:338 HIGH ST
Practice Address - Street 2:
Practice Address - City:SOMERSWORTH
Practice Address - State:NH
Practice Address - Zip Code:03878-1826
Practice Address - Country:US
Practice Address - Phone:603-692-6636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2722183500000X
MEPR4297183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist