Healthcare Provider Details

I. General information

NPI: 1558028076
Provider Name (Legal Business Name): SHARAE BERRIAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2021
Last Update Date: 11/18/2021
Certification Date: 09/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 S PARKWAY
POMPANO BEACH FL
33069
US

IV. Provider business mailing address

8917 NW 28TH DR APT C
CORAL SPRINGS FL
33065-5260
US

V. Phone/Fax

Practice location:
  • Phone: 954-971-4940
  • Fax:
Mailing address:
  • Phone: 561-412-9395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS63171
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: