Provider Demographics
NPI:1881212686
Name:NEWBERRY, SHERICE NICOLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHERICE
Middle Name:NICOLE
Last Name:NEWBERRY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:SHERICE
Other - Middle Name:NICOLE
Other - Last Name:HECK-NEWBERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1689 BISCAYNE BAY CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-8671
Mailing Address - Country:US
Mailing Address - Phone:904-318-9400
Mailing Address - Fax:
Practice Address - Street 1:5108 NORWOOD AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-5032
Practice Address - Country:US
Practice Address - Phone:904-768-4491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS57304183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist