Provider Demographics
NPI:1013327519
Name:SHEERER, KRYSTAL (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:KRYSTAL
Middle Name:
Last Name:SHEERER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2191 COLUMBIA AVE W
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-2847
Mailing Address - Country:US
Mailing Address - Phone:269-968-3359
Mailing Address - Fax:269-966-0365
Practice Address - Street 1:2191 COLUMBIA AVE W
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-2847
Practice Address - Country:US
Practice Address - Phone:269-968-3359
Practice Address - Fax:269-966-0365
Is Sole Proprietor?:No
Enumeration Date:2014-05-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302039605183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist