Healthcare Provider Details

I. General information

NPI: 1871891473
Provider Name (Legal Business Name): SHERRI LYNN SHEPHERD PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2011
Last Update Date: 03/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2080 NAAMANS RD
WILMINGTON DE
19810-2655
US

IV. Provider business mailing address

1119 WORTH LN DARLEY GREEN
CLAYMONT DE
19703-3305
US

V. Phone/Fax

Practice location:
  • Phone: 302-475-4690
  • Fax: 302-475-6303
Mailing address:
  • Phone: 302-764-0228
  • Fax: 302-475-6303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-0003685
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: