Provider Demographics
NPI:1194849182
Name:INFANTINO, CHERYL A (RPH)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:INFANTINO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-1521
Mailing Address - Country:US
Mailing Address - Phone:585-396-9970
Mailing Address - Fax:585-396-7264
Practice Address - Street 1:66 WEST AVE
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-1521
Practice Address - Country:US
Practice Address - Phone:585-396-9970
Practice Address - Fax:585-396-7264
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048258183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist