Provider Demographics
NPI:1023629177
Name:BRADLEY, SHERRY LYNN (PHARMD)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:LYNN
Last Name:BRADLEY
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 1:14100 SPRING CYPRESS RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6286
Mailing Address - Country:US
Mailing Address - Phone:281-376-2428
Mailing Address - Fax:281-320-3783
Practice Address - Street 1:14100 SPRING CYPRESS RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6286
Practice Address - Country:US
Practice Address - Phone:281-376-2428
Practice Address - Fax:281-320-3783
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40820183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist