Provider Demographics
NPI:1184067126
Name:SHERE-STRAIN, WILHEMINA CATHERINE (RPH)
Entity type:Individual
Prefix:MRS
First Name:WILHEMINA
Middle Name:CATHERINE
Last Name:SHERE-STRAIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4271 S BUCKLEY RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-2901
Mailing Address - Country:US
Mailing Address - Phone:303-680-8690
Mailing Address - Fax:303-617-2980
Practice Address - Street 1:4271 S BUCKLEY RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-2901
Practice Address - Country:US
Practice Address - Phone:303-680-8690
Practice Address - Fax:303-617-2980
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10987183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist