Provider Demographics
NPI:1093834897
Name:POSTLEWAIT, SHEREE NICOLE (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:SHEREE
Middle Name:NICOLE
Last Name:POSTLEWAIT
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4181 BETHLEHEM RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172-6418
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2118 MEMORIAL BLVD
Practice Address - Street 2:ECKERD PHARMACY #6771
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172-3964
Practice Address - Country:US
Practice Address - Phone:615-384-3203
Practice Address - Fax:615-384-7124
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23474183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist