Provider Demographics
NPI:1083954044
Name:STURGHILL, AKETI (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:AKETI
Middle Name:
Last Name:STURGHILL
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 1:4514 ROSEMONT AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-3536
Mailing Address - Country:US
Mailing Address - Phone:214-762-1077
Mailing Address - Fax:
Practice Address - Street 1:4514 ROSEMONT AVE
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-3536
Practice Address - Country:US
Practice Address - Phone:214-762-1077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX410261835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric