Provider Demographics
NPI:1962722843
Name:PHILLIPS, SHERRY SHEA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:SHEA
Last Name:PHILLIPS
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 1:354 FOLLY RD
Mailing Address - Street 2:BLDG 1
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-2507
Mailing Address - Country:US
Mailing Address - Phone:843-762-8155
Mailing Address - Fax:843-762-8156
Practice Address - Street 1:354 FOLLY RD
Practice Address - Street 2:BLDG 1
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-2507
Practice Address - Country:US
Practice Address - Phone:843-762-8155
Practice Address - Fax:843-762-8156
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2021-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10530183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist