Provider Demographics
NPI:1073888723
Name:SHERMAN, GERALD NORTON (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:GERALD
Middle Name:NORTON
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19001 N 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-5036
Mailing Address - Country:US
Mailing Address - Phone:623-293-4402
Mailing Address - Fax:623-293-4409
Practice Address - Street 1:19001 N 27TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-5036
Practice Address - Country:US
Practice Address - Phone:623-293-4402
Practice Address - Fax:623-293-4409
Is Sole Proprietor?:No
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS004177183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist