Provider Demographics
NPI:1144501602
Name:CHAPMAN, SHERRY DENISE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:DENISE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WALGREENS
Mailing Address - Street 2:115 N LAWRENCE BLVD
Mailing Address - City:KEYSTONE HEIGHTS
Mailing Address - State:FL
Mailing Address - Zip Code:32656
Mailing Address - Country:US
Mailing Address - Phone:352-473-4621
Mailing Address - Fax:352-473-6614
Practice Address - Street 1:WALGREENS
Practice Address - Street 2:115 N LAWRENCE BLVD
Practice Address - City:KEYSTONE HEIGHTS
Practice Address - State:FL
Practice Address - Zip Code:32656
Practice Address - Country:US
Practice Address - Phone:352-473-4621
Practice Address - Fax:352-473-6614
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS37085183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist