Provider Demographics
NPI:1841234648
Name:ANDES, SHERRY L (BS, PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:L
Last Name:ANDES
Suffix:
Gender:F
Credentials:BS, PHARMD, BCPS
Other - Prefix:DR
Other - First Name:SHERRY
Other - Middle Name:L
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH, PHARMD, BCPS
Mailing Address - Street 1:306 GABLEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-4164
Mailing Address - Country:US
Mailing Address - Phone:502-254-9531
Mailing Address - Fax:502-254-3657
Practice Address - Street 1:306 GABLEWOOD CIR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40245-4164
Practice Address - Country:US
Practice Address - Phone:502-254-9531
Practice Address - Fax:502-254-3657
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-198811835P1200X
AZ115201835P1200X
IN26022279A1835P1200X
KY0135331835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy