Provider Demographics
NPI:1649424243
Name:CHERYL ANN STRIPLIN
Entity Type:Organization
Organization Name:CHERYL ANN STRIPLIN
Other - Org Name:STRIPLIN'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PIC
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:STRIPLIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:209-923-4418
Mailing Address - Street 1:1144 NORMAN DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95336-5925
Mailing Address - Country:US
Mailing Address - Phone:209-923-4418
Mailing Address - Fax:209-923-4273
Practice Address - Street 1:1144 NORMAN DR
Practice Address - Street 2:SUITE 103
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95336-5925
Practice Address - Country:US
Practice Address - Phone:209-923-4418
Practice Address - Fax:209-923-4273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CAPHY490053336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2117738OtherPK