Provider Demographics
NPI:1912512997
Name:MITTEN, SHERI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHERI
Middle Name:
Last Name:MITTEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 SWORDGATE DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-1630
Mailing Address - Country:US
Mailing Address - Phone:919-349-7515
Mailing Address - Fax:
Practice Address - Street 1:202 SWORDGATE DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-1630
Practice Address - Country:US
Practice Address - Phone:919-349-7515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12220183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist