Provider Demographics
NPI:1174860142
Name:SHERMAN, AALYA F (PHARMACIST)
Entity type:Individual
Prefix:
First Name:AALYA
Middle Name:F
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 MATHIS AIRPORT PKWY
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-9128
Mailing Address - Country:US
Mailing Address - Phone:770-781-4640
Mailing Address - Fax:770-781-8513
Practice Address - Street 1:3120 MATHIS AIRPORT PKWY
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-9128
Practice Address - Country:US
Practice Address - Phone:770-781-4640
Practice Address - Fax:770-781-8513
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH022205183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist