Provider Demographics
NPI:1578154423
Name:TATOM, SHERI (CPHT)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:
Last Name:TATOM
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10251 KEMPWOOD
Mailing Address - Street 2:PHARMACY DEPARTMENT
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-3355
Mailing Address - Country:US
Mailing Address - Phone:713-996-0449
Mailing Address - Fax:
Practice Address - Street 1:10251 KEMPWOOD
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-3355
Practice Address - Country:US
Practice Address - Phone:713-996-0449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174491183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician