Provider Demographics
NPI:1336347095
Name:SHERMAN, JAMES LOUIS (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LOUIS
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8162 ARROW WOOD LN
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-8494
Mailing Address - Country:US
Mailing Address - Phone:605-877-0661
Mailing Address - Fax:
Practice Address - Street 1:8162 ARROW WOOD LN
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-8494
Practice Address - Country:US
Practice Address - Phone:605-877-0661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-04
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY2408183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist