Provider Demographics
NPI:1548866783
Name:NGUY-WONG, SHERRI (RPH)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:
Last Name:NGUY-WONG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25151 FULSHEAR GASTON RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-8782
Mailing Address - Country:US
Mailing Address - Phone:281-232-7557
Mailing Address - Fax:
Practice Address - Street 1:25151 FULSHEAR GASTON RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-8782
Practice Address - Country:US
Practice Address - Phone:281-232-7557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist