Provider Demographics
NPI:1073236931
Name:OSCEOLA, SHERRY LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:LYNN
Last Name:OSCEOLA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:SHERRY
Other - Middle Name:LYNN
Other - Last Name:MARKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6340 N 35TH ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-2148
Mailing Address - Country:US
Mailing Address - Phone:954-881-6117
Mailing Address - Fax:
Practice Address - Street 1:2240 E SUNRISE BLVD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-2543
Practice Address - Country:US
Practice Address - Phone:954-566-8309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL64865183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist