Provider Demographics
NPI:1689196263
Name:CHAMBERS, CHERYL ANITA
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:ANITA
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:ANITA
Other - Last Name:CHAMBERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:14307 WARKWORTH DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77085-3005
Mailing Address - Country:US
Mailing Address - Phone:713-494-8805
Mailing Address - Fax:
Practice Address - Street 1:14307 WARKWORTH DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77085-3005
Practice Address - Country:US
Practice Address - Phone:713-494-8805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-14
Last Update Date:2017-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33603183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist