Provider Demographics
NPI:1851672018
Name:VONDRACEK, SHERYL FOLLIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:FOLLIN
Last Name:VONDRACEK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SHERYL
Other - Middle Name:LYNN
Other - Last Name:FOLLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:12850 E MONTVIEW BLVD
Mailing Address - Street 2:UNIVERSITY OF COLORADO SCHOOL OF PHARMACY; C-238
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2605
Mailing Address - Country:US
Mailing Address - Phone:303-724-2638
Mailing Address - Fax:303-724-2627
Practice Address - Street 1:12605 E 16TH AVE
Practice Address - Street 2:UCH ANSCHUTZ INPATIENT PAVILLION
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2545
Practice Address - Country:US
Practice Address - Phone:303-724-2638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO144681835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist