Provider Demographics
NPI:1710289566
Name:SHERRY, PAMELA S (PHARMD)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:S
Last Name:SHERRY
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 1:701 EDGEWATER DR STE 420
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-6243
Mailing Address - Country:US
Mailing Address - Phone:978-712-1658
Mailing Address - Fax:
Practice Address - Street 1:701 EDGEWATER DR STE 420
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-6243
Practice Address - Country:US
Practice Address - Phone:978-712-1658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-30
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA218471835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist