Healthcare Provider Details

I. General information

NPI: 1811582778
Provider Name (Legal Business Name): SHERIKA LASHEA WHEELER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2021
Last Update Date: 03/03/2021
Certification Date: 03/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 MCINGVALE RD
HERNANDO MS
38632-8658
US

IV. Provider business mailing address

7913 SYCAMORE DR
SOUTHAVEN MS
38671-8423
US

V. Phone/Fax

Practice location:
  • Phone: 662-429-8767
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number43728
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberE-15091
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: