Healthcare Provider Details

I. General information

NPI: 1982107785
Provider Name (Legal Business Name): SHERYL DURUEWURU PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2018
Last Update Date: 03/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 BUFFALO GAP RD
ABILENE TX
79606-4131
US

IV. Provider business mailing address

991 N WILLIS ST
ABILENE TX
79603-4620
US

V. Phone/Fax

Practice location:
  • Phone: 325-695-8664
  • Fax:
Mailing address:
  • Phone: 325-676-2392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number59494
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: