Provider Demographics
NPI:1073910451
Name:STOUKIDES, CHERYL A (BSC, RPH, PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:A
Last Name:STOUKIDES
Suffix:
Gender:F
Credentials:BSC, RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 NEWPORT AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-4414
Mailing Address - Country:US
Mailing Address - Phone:401-722-7600
Mailing Address - Fax:401-722-9738
Practice Address - Street 1:10 NEWPORT AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02861-4414
Practice Address - Country:US
Practice Address - Phone:401-722-7600
Practice Address - Fax:401-722-9738
Is Sole Proprietor?:No
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH030701835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy