Provider Demographics
NPI:1023771078
Name:DEOL, SHARN KAUR
Entity type:Individual
Prefix:
First Name:SHARN
Middle Name:KAUR
Last Name:DEOL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 DOVER LN
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4231
Mailing Address - Country:US
Mailing Address - Phone:214-232-0434
Mailing Address - Fax:
Practice Address - Street 1:707 N FIELDER RD STE B
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-4637
Practice Address - Country:US
Practice Address - Phone:817-773-2833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67236183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist