Provider Demographics
NPI:1144517384
Name:HERN, SONYA LYNN (RPH)
Entity type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:LYNN
Last Name:HERN
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 1:3100 GULF FREEWAY SOUTH
Mailing Address - Street 2:T-2320
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77539
Mailing Address - Country:US
Mailing Address - Phone:281-534-5421
Mailing Address - Fax:281-534-5421
Practice Address - Street 1:3100 GULF FREEWAY SOUTH
Practice Address - Street 2:T-2320
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77539
Practice Address - Country:US
Practice Address - Phone:281-534-5421
Practice Address - Fax:281-534-5421
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36601183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist