Provider Demographics
NPI:1598081382
Name:CHERKEZOVA, ANZHELIKA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANZHELIKA
Middle Name:
Last Name:CHERKEZOVA
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 1:29 EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1006
Mailing Address - Country:US
Mailing Address - Phone:917-476-0982
Mailing Address - Fax:
Practice Address - Street 1:26A PICOTTE DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-1710
Practice Address - Country:US
Practice Address - Phone:515-435-2315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053992183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist