Provider Demographics
NPI:1174205280
Name:PHARM HOUSE DRUG SHERMAN LLC
Entity type:Organization
Organization Name:PHARM HOUSE DRUG SHERMAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT
Authorized Official - Phone:210-323-7119
Mailing Address - Street 1:1916 N GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-2610
Mailing Address - Country:US
Mailing Address - Phone:903-328-6655
Mailing Address - Fax:903-328-6656
Practice Address - Street 1:1916 N GRAND AVE
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2610
Practice Address - Country:US
Practice Address - Phone:903-328-6655
Practice Address - Fax:903-328-6656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy