Provider Demographics
NPI:1740300888
Name:SCHRAMM, SHERI K (RPH)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:K
Last Name:SCHRAMM
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:PROF
Other - First Name:S
Other - Middle Name:K
Other - Last Name:SCHRAMM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:721 MECHEM DR
Mailing Address - Street 2:LONG'S PHARMACY AND GIFTS
Mailing Address - City:RUIDOSO
Mailing Address - State:NM
Mailing Address - Zip Code:88345-6911
Mailing Address - Country:US
Mailing Address - Phone:505-257-3882
Mailing Address - Fax:505-257-3552
Practice Address - Street 1:721 MECHEM DR
Practice Address - Street 2:LONG'S PHARMACY AND GIFTS
Practice Address - City:RUIDOSO
Practice Address - State:NM
Practice Address - Zip Code:88345-6911
Practice Address - Country:US
Practice Address - Phone:505-257-3882
Practice Address - Fax:505-257-3552
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM5080183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist