Provider Demographics
NPI:1518241181
Name:ANDREW, SHERYL MARIE (RPH)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:MARIE
Last Name:ANDREW
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 1:58 CHRISTINA DR
Mailing Address - Street 2:
Mailing Address - City:PEVELY
Mailing Address - State:MO
Mailing Address - Zip Code:63070-1642
Mailing Address - Country:US
Mailing Address - Phone:636-475-3374
Mailing Address - Fax:
Practice Address - Street 1:2700 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63125-4026
Practice Address - Country:US
Practice Address - Phone:314-416-8123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001024199183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist