Provider Demographics
NPI:1275131724
Name:FOX, SHARI KIM (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:KIM
Last Name:FOX
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:SHARI
Other - Middle Name:KIM
Other - Last Name:STOKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:2 MATHIS DR
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-7038
Mailing Address - Country:US
Mailing Address - Phone:615-740-7377
Mailing Address - Fax:615-740-7381
Practice Address - Street 1:2 MATHIS DR
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-7038
Practice Address - Country:US
Practice Address - Phone:615-740-7377
Practice Address - Fax:615-740-7381
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist