Provider Demographics
NPI:1780019182
Name:RUTLEDGE, SHERRIE LORENE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:SHERRIE
Middle Name:LORENE
Last Name:RUTLEDGE
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 1:31741 HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:OK
Mailing Address - Zip Code:74873-6592
Mailing Address - Country:US
Mailing Address - Phone:405-664-7349
Mailing Address - Fax:
Practice Address - Street 1:500 E ROBINSON ST STE 200
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6648
Practice Address - Country:US
Practice Address - Phone:405-364-5020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK15499183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1780019182OtherNPI