Provider Demographics
NPI:1619094307
Name:LAURENT, SHERRY ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:ANN
Last Name:LAURENT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:ANN
Other - Last Name:LUEDTKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:6520 MEADOWLAND DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-1223
Mailing Address - Country:US
Mailing Address - Phone:806-356-4000
Mailing Address - Fax:806-356-4018
Practice Address - Street 1:1300 S COULTER ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1712
Practice Address - Country:US
Practice Address - Phone:806-356-4000
Practice Address - Fax:806-356-4018
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX364671835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy