Provider Demographics
NPI:1073769006
Name:CHERICO, ROBERT (PHARMD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:CHERICO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 SANFORD FARM SHOPPING PLAZA
Mailing Address - Street 2:PRICE CHOPPER PHARMACY 139
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010-2120
Mailing Address - Country:US
Mailing Address - Phone:518-843-8332
Mailing Address - Fax:
Practice Address - Street 1:141 SANFORD FARM SHOPPING PLAZA
Practice Address - Street 2:PRICE CHOPPER PHARMACY 139
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010-2120
Practice Address - Country:US
Practice Address - Phone:518-843-8332
Practice Address - Fax:518-843-8334
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052551183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist