Provider Demographics
NPI:1255686721
Name:CHERRY, SHARON (RPH)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:CHERRY
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 1:900 E MOUNT VERNON ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42501-1228
Mailing Address - Country:US
Mailing Address - Phone:606-679-9227
Mailing Address - Fax:606-679-1358
Practice Address - Street 1:900 E MOUNT VERNON ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42501-1228
Practice Address - Country:US
Practice Address - Phone:606-679-9227
Practice Address - Fax:606-679-1358
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY008986183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist