Provider Demographics
NPI:1275871295
Name:O'REAR, CHERYL ALTMAN (RPH)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ALTMAN
Last Name:O'REAR
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 1:73 GUNTER DR
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28785-6943
Mailing Address - Country:US
Mailing Address - Phone:843-241-5350
Mailing Address - Fax:
Practice Address - Street 1:38 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-3040
Practice Address - Country:US
Practice Address - Phone:828-586-5807
Practice Address - Fax:828-586-1608
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-25
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21585183500000X
SC007696183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7700591-RXMedicaid