Provider Demographics
NPI:1699005025
Name:WESSEL, SHERRIE FREEMYER (RPH)
Entity Type:Individual
Prefix:MS
First Name:SHERRIE
Middle Name:FREEMYER
Last Name:WESSEL
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 1:610 W YAKIMA AVE
Mailing Address - Street 2:WALGREENS #12275
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3365
Mailing Address - Country:US
Mailing Address - Phone:509-469-0246
Mailing Address - Fax:509-469-2080
Practice Address - Street 1:610 W YAKIMA AVE
Practice Address - Street 2:WALGREENS #12275
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3365
Practice Address - Country:US
Practice Address - Phone:509-469-0246
Practice Address - Fax:509-469-2080
Is Sole Proprietor?:No
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00017949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist