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NPI Code Detail

MEDICARE: SHERLY OOMMEN PHARMD

MEDICARE: SHERLY OOMMEN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist41776TX

General Provider Information

NPI Number : 1013245299
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERLY OOMMEN PHARMD
Provider Business Mailing Address
First Line : 3902 FM 762 RD
Second Line :
City : ROSENBERG
State : TX
Zip : 77469-5892
Country : US
Telephone Number : 281-232-2962
Fax Number :
Provider Business Practice Location Address
First Line : 3902 FM 762 RD
Second Line :
City : ROSENBERG
State : TX
Zip : 77469-5892
Country : US
Telephone Number : 281-232-2962
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2009
Last Update Date : 11/25/2009

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Directions to “ SHERLY OOMMEN PHARMD” Practice Location

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