Provider Demographics
NPI:1164634382
Name:SOMERSTEIN, SHARI LEWIS (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:LEWIS
Last Name:SOMERSTEIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8708 MAHOGANY AVE
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3153
Mailing Address - Country:US
Mailing Address - Phone:954-370-0394
Mailing Address - Fax:
Practice Address - Street 1:8708 MAHOGANY AVE
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3153
Practice Address - Country:US
Practice Address - Phone:954-370-0394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS20144183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist