Provider Demographics
NPI:1962894972
Name:CHERRY, PATRICK (RPH)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:CHERRY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2730 EASTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-1550
Mailing Address - Country:US
Mailing Address - Phone:334-272-2343
Mailing Address - Fax:334-279-8433
Practice Address - Street 1:2730 EASTERN BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-1550
Practice Address - Country:US
Practice Address - Phone:334-272-2343
Practice Address - Fax:334-279-8433
Is Sole Proprietor?:No
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13231183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist