Provider Demographics
NPI:1043558216
Name:OWENS, CHERYL ANNE (PHARM D)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANNE
Last Name:OWENS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:ANNE
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:610 EGLIN PKWY NE
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-2832
Mailing Address - Country:US
Mailing Address - Phone:850-862-6789
Mailing Address - Fax:
Practice Address - Street 1:610 EGLIN PKWY NE
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-2832
Practice Address - Country:US
Practice Address - Phone:850-862-6185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS48947183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist