Provider Demographics
NPI:1780817783
Name:LAGUARDIA, SHERRY RUTH VARONA (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:SHERRY RUTH
Middle Name:VARONA
Last Name:LAGUARDIA
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 1:6601 WATAUGA RD
Mailing Address - Street 2:124
Mailing Address - City:WATAUGA
Mailing Address - State:TX
Mailing Address - Zip Code:76148-3331
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6601 WATAUGA RD
Practice Address - Street 2:124
Practice Address - City:WATAUGA
Practice Address - State:TX
Practice Address - Zip Code:76148-3331
Practice Address - Country:US
Practice Address - Phone:817-702-6621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-25
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX464241835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist