Healthcare Provider Details

I. General information

NPI: 1871106070
Provider Name (Legal Business Name): SHERRY LI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2020
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 OLD SAN ANTONIO RD
BUDA TX
78610-2108
US

IV. Provider business mailing address

690 OLD SAN ANTONIO RD
BUDA TX
78610-2108
US

V. Phone/Fax

Practice location:
  • Phone: 512-312-2256
  • Fax:
Mailing address:
  • Phone: 512-312-2256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number61892
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: