Healthcare Provider Details

I. General information

NPI: 1649352915
Provider Name (Legal Business Name): SHERRY L VACARELLA RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 HELENA MARKETPLACE
HELENA AL
35080
US

IV. Provider business mailing address

1680 OAK PARK LANE
HELENA AL
35080
US

V. Phone/Fax

Practice location:
  • Phone: 205-620-5334
  • Fax: 205-620-5432
Mailing address:
  • Phone: 205-425-9923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10731
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: