Provider Demographics
NPI:1558480285
Name:HERRING, MASHEENA JENEE' (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MASHEENA
Middle Name:JENEE'
Last Name:HERRING
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 1:20164 NW 38TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-1441
Mailing Address - Country:US
Mailing Address - Phone:305-621-5614
Mailing Address - Fax:
Practice Address - Street 1:1698 S PALM AVE
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-5587
Practice Address - Country:US
Practice Address - Phone:954-885-8457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 38539183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist