Provider Demographics
NPI:1124040571
Name:BARGE-SEABROOKS, CHERYL BERNITA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:BERNITA
Last Name:BARGE-SEABROOKS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8361 FORDHAM LN
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32305-1303
Mailing Address - Country:US
Mailing Address - Phone:850-933-0264
Mailing Address - Fax:850-513-8013
Practice Address - Street 1:2181 ORANGE AVE E
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32311-6144
Practice Address - Country:US
Practice Address - Phone:850-513-7396
Practice Address - Fax:850-513-8013
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17409183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy