Provider Demographics
NPI:1467902973
Name:SMITH, CHERYL SUE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:SUE
Last Name:SMITH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:CHERYL
Other - Middle Name:SUE
Other - Last Name:FINDLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 DAWN LN
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45690-9138
Mailing Address - Country:US
Mailing Address - Phone:740-947-6377
Mailing Address - Fax:740-947-6301
Practice Address - Street 1:100 DAWN LN
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-9138
Practice Address - Country:US
Practice Address - Phone:740-947-6377
Practice Address - Fax:740-947-6301
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-16753183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist