Provider Demographics
NPI:1265533004
Name:HUNEYCUTT, SHERRI F (RPH)
Entity type:Individual
Prefix:MS
First Name:SHERRI
Middle Name:F
Last Name:HUNEYCUTT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:908 MOUNT VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-4845
Mailing Address - Country:US
Mailing Address - Phone:704-332-1540
Mailing Address - Fax:704-512-7630
Practice Address - Street 1:4400 GOLF ACRES DR
Practice Address - Street 2:BLDG J, SUITE E, ROOM 210
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-5923
Practice Address - Country:US
Practice Address - Phone:704-512-7624
Practice Address - Fax:704-512-7630
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8736183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist