Provider Demographics
NPI:1871891473
Name:SHEPHERD, SHERRI LYNN (PHARMD)
Entity type:Individual
Prefix:MISS
First Name:SHERRI
Middle Name:LYNN
Last Name:SHEPHERD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 WORTH LN
Mailing Address - Street 2:DARLEY GREEN
Mailing Address - City:CLAYMONT
Mailing Address - State:DE
Mailing Address - Zip Code:19703-3305
Mailing Address - Country:US
Mailing Address - Phone:302-764-0228
Mailing Address - Fax:302-475-6303
Practice Address - Street 1:2080 NAAMANS RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-2655
Practice Address - Country:US
Practice Address - Phone:302-475-4690
Practice Address - Fax:302-475-6303
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-05
Last Update Date:2011-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003685183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist