Provider Demographics
NPI:1356011779
Name:CHEAITO, OLA (PHARMD)
Entity Type:Individual
Prefix:
First Name:OLA
Middle Name:
Last Name:CHEAITO
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 1:27144 JOY RD
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-2368
Mailing Address - Country:US
Mailing Address - Phone:313-937-3000
Mailing Address - Fax:313-937-0300
Practice Address - Street 1:27144 JOY RD
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-2368
Practice Address - Country:US
Practice Address - Phone:313-937-3000
Practice Address - Fax:313-937-0300
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302039004183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist