Provider Demographics
NPI:1154836310
Name:DACAYO, CHERYL ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL ANN
Middle Name:
Last Name:DACAYO
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 1:10535 MYRTLE ST
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-2402
Mailing Address - Country:US
Mailing Address - Phone:626-422-8106
Mailing Address - Fax:
Practice Address - Street 1:702 N AZUSA AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791-1010
Practice Address - Country:US
Practice Address - Phone:626-967-1069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60617183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist