Provider Demographics
NPI:1699181644
Name:SHERMAN, ALLISON RUTH (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:RUTH
Last Name:SHERMAN
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 1:1225 S CHURCH ST
Mailing Address - Street 2:APT 441
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-4017
Mailing Address - Country:US
Mailing Address - Phone:631-901-5905
Mailing Address - Fax:
Practice Address - Street 1:520 E TRADE ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:NC
Practice Address - Zip Code:28034-1755
Practice Address - Country:US
Practice Address - Phone:704-922-8011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24346183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist