Provider Demographics
NPI:1164719282
Name:PERRY, SYLVIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:PERRY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9440 MARSH LN
Mailing Address - Street 2:T-0947
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75220-4924
Mailing Address - Country:US
Mailing Address - Phone:469-341-1548
Mailing Address - Fax:
Practice Address - Street 1:9440 MARSH LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220-4924
Practice Address - Country:US
Practice Address - Phone:469-341-1548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-10
Last Update Date:2011-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43441183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist