Provider Demographics
NPI:1770002370
Name:SHARMA PEARL INC
Entity Type:Organization
Organization Name:SHARMA PEARL INC
Other - Org Name:PEARL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:OWEN
Authorized Official - Last Name:ODIASE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:972-572-9006
Mailing Address - Street 1:3920 W WHEATLAND RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3457
Mailing Address - Country:US
Mailing Address - Phone:972-572-9006
Mailing Address - Fax:972-572-9016
Practice Address - Street 1:3920 W WHEATLAND RD STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3457
Practice Address - Country:US
Practice Address - Phone:972-572-9006
Practice Address - Fax:972-572-9016
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHARMA PEARL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX315753336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy