Provider Demographics
NPI:1629624234
Name:AUSTIN, CHER ANN (RPH)
Entity Type:Individual
Prefix:
First Name:CHER
Middle Name:ANN
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 PARK FOREST DR N
Mailing Address - Street 2:
Mailing Address - City:WHITELAND
Mailing Address - State:IN
Mailing Address - Zip Code:46184-9783
Mailing Address - Country:US
Mailing Address - Phone:317-979-1270
Mailing Address - Fax:
Practice Address - Street 1:39 S US 31
Practice Address - Street 2:
Practice Address - City:WHITELAND
Practice Address - State:IN
Practice Address - Zip Code:46184-1547
Practice Address - Country:US
Practice Address - Phone:317-535-9001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-11
Last Update Date:2019-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26014677A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist