Provider Demographics
NPI:1083600258
Name:DUNCAN, SHERELIA KAY (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SHERELIA
Middle Name:KAY
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18787 MENEFEE RD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35613-5624
Mailing Address - Country:US
Mailing Address - Phone:256-431-7013
Mailing Address - Fax:
Practice Address - Street 1:6275 UNIVERSITY DR NW
Practice Address - Street 2:TARGET PHARMACY T-1346
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-1776
Practice Address - Country:US
Practice Address - Phone:256-971-0913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-23
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14568183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist