Provider Demographics
NPI:1558481275
Name:SHERMAN, MICHELLE JUDY (RPH, APH)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:JUDY
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:RPH, APH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34145 PACIFIC COAST HWY
Mailing Address - Street 2:#211
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-2808
Mailing Address - Country:US
Mailing Address - Phone:949-973-8560
Mailing Address - Fax:509-271-6579
Practice Address - Street 1:34145 PACIFIC COAST HWY
Practice Address - Street 2:#211
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-2808
Practice Address - Country:US
Practice Address - Phone:949-973-8560
Practice Address - Fax:509-271-6579
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104621835P0018X
CARPH 41763183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist