Provider Demographics
NPI:1245949882
Name:WORD-PROFFITT, SHERRI (RPH)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:
Last Name:WORD-PROFFITT
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 1:210 POSEY AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:TX
Mailing Address - Zip Code:76634-1854
Mailing Address - Country:US
Mailing Address - Phone:254-675-8659
Mailing Address - Fax:254-675-6745
Practice Address - Street 1:210 POSEY AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:TX
Practice Address - Zip Code:76634-1854
Practice Address - Country:US
Practice Address - Phone:254-675-8659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35552183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist