Provider Demographics
NPI:1407185853
Name:CHE, MEYAHNWI C (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEYAHNWI
Middle Name:C
Last Name:CHE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4703 W COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78237-1502
Mailing Address - Country:US
Mailing Address - Phone:210-481-6210
Mailing Address - Fax:
Practice Address - Street 1:4703 W COMMERCE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78237-1502
Practice Address - Country:US
Practice Address - Phone:210-434-5566
Practice Address - Fax:210-434-7943
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41842183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist