Provider Demographics
NPI:1831479245
Name:HERRICK, SHARON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:HERRICK
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 1:2639 LAWNDALE DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-4802
Mailing Address - Country:US
Mailing Address - Phone:336-545-1083
Mailing Address - Fax:336-545-0641
Practice Address - Street 1:2639 LAWNDALE DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-4802
Practice Address - Country:US
Practice Address - Phone:336-545-1083
Practice Address - Fax:336-545-0641
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19067183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist