Provider Demographics
NPI:1063744654
Name:CUTRER, SHERMAN M (RPH)
Entity type:Individual
Prefix:MR
First Name:SHERMAN
Middle Name:M
Last Name:CUTRER
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 1:74247 OLD SPRINGCREEK RD
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:LA
Mailing Address - Zip Code:70444-5713
Mailing Address - Country:US
Mailing Address - Phone:985-229-4040
Mailing Address - Fax:
Practice Address - Street 1:280 JOHN R JUNKIN DR
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-3822
Practice Address - Country:US
Practice Address - Phone:601-442-0086
Practice Address - Fax:601-442-4806
Is Sole Proprietor?:No
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSMS T09781183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist