Provider Demographics
NPI:1457352908
Name:MCSHERRY, SHARON (RPH)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:MCSHERRY
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 1:1704 WOODSTOCK BLVD
Mailing Address - Street 2:1201
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-5604
Mailing Address - Country:US
Mailing Address - Phone:972-467-5136
Mailing Address - Fax:972-692-8979
Practice Address - Street 1:2214 PADDOCK WAY DR
Practice Address - Street 2:SUITE 900
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-1005
Practice Address - Country:US
Practice Address - Phone:972-336-0288
Practice Address - Fax:972-206-2687
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20914183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist