Provider Demographics
NPI:1306004312
Name:JUDGE, CHERYL LYNN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:LYNN
Last Name:JUDGE
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Gender:F
Credentials:PHARM D
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Mailing Address - Street 1:175 S WILKES BARRE BLVD
Mailing Address - Street 2:COUMADIN CLINIC
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702-5040
Mailing Address - Country:US
Mailing Address - Phone:570-200-7510
Mailing Address - Fax:570-200-7509
Practice Address - Street 1:175 S WILKES BARRE BLVD
Practice Address - Street 2:COUMADIN CLINIC
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702-5040
Practice Address - Country:US
Practice Address - Phone:570-200-7510
Practice Address - Fax:570-200-7509
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
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Provider Licenses
StateLicense IDTaxonomies
PARP4410621835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist