Provider Demographics
NPI:1881918381
Name:SHERMAN, RON (RPH)
Entity type:Individual
Prefix:MR
First Name:RON
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10433 E EAST DR
Mailing Address - Street 2:
Mailing Address - City:SUN LAKES
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-8213
Mailing Address - Country:US
Mailing Address - Phone:480-895-1043
Mailing Address - Fax:480-895-1043
Practice Address - Street 1:2010 S ALMA SCHOOL RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-7072
Practice Address - Country:US
Practice Address - Phone:480-917-8546
Practice Address - Fax:480-917-9823
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10136183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist