Provider Demographics
NPI:1942376371
Name:CHERRY, SUE ELLEN (RPH)
Entity Type:Individual
Prefix:MS
First Name:SUE
Middle Name:ELLEN
Last Name:CHERRY
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 1:7 W BELLE ST
Mailing Address - Street 2:RIDGELY PHARMACY
Mailing Address - City:RIDGELY
Mailing Address - State:MD
Mailing Address - Zip Code:21660-2009
Mailing Address - Country:US
Mailing Address - Phone:410-634-9800
Mailing Address - Fax:410-634-9008
Practice Address - Street 1:7 W BELLE ST
Practice Address - Street 2:RIDGELY PHARMACY
Practice Address - City:RIDGELY
Practice Address - State:MD
Practice Address - Zip Code:21660-2009
Practice Address - Country:US
Practice Address - Phone:410-634-9800
Practice Address - Fax:410-634-9008
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11093183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist