Provider Demographics
NPI:1598256034
Name:LEWIS, CHERIE M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHERIE
Middle Name:M
Last Name:LEWIS
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 1:107 WAHOO LN
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92058-1008
Mailing Address - Country:US
Mailing Address - Phone:951-526-7231
Mailing Address - Fax:
Practice Address - Street 1:32225 TEMECULA PKWY
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-6811
Practice Address - Country:US
Practice Address - Phone:951-506-7631
Practice Address - Fax:951-506-7635
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48455183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist