Healthcare Provider Details

I. General information

NPI: 1841234648
Provider Name (Legal Business Name): SHERRY L ANDES BS, PHARMD, BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHERRY L HAMILTON RPH, PHARMD, BCPS

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 GABLEWOOD CIR
LOUISVILLE KY
40245-4164
US

IV. Provider business mailing address

306 GABLEWOOD CIR
LOUISVILLE KY
40245-4164
US

V. Phone/Fax

Practice location:
  • Phone: 502-254-9531
  • Fax: 502-254-3657
Mailing address:
  • Phone: 502-254-9531
  • Fax: 502-254-3657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number03-3-19881
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number11520
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number26022279A
License Number StateIN
# 4
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number013533
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: