Healthcare Provider Details

I. General information

NPI: 1932357183
Provider Name (Legal Business Name): LAURIE SHERRICK PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2008
Last Update Date: 08/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE
DANVILLE PA
17822-9800
US

IV. Provider business mailing address

163 BEAVER DAM RD
STILLWATER PA
17878-9231
US

V. Phone/Fax

Practice location:
  • Phone: 570-271-6691
  • Fax:
Mailing address:
  • Phone: 570-864-2864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberRP041393L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: