Provider Demographics
NPI:1851331060
Name:DILLON, CHERIE LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHERIE
Middle Name:LYNN
Last Name:DILLON
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 1:103 BODIN CIR
Mailing Address - Street 2:PHARMACY SERVICE (119)
Mailing Address - City:TRAVIS AFB
Mailing Address - State:CA
Mailing Address - Zip Code:94535-1801
Mailing Address - Country:US
Mailing Address - Phone:707-437-1820
Mailing Address - Fax:707-437-1822
Practice Address - Street 1:103 BODIN CIR
Practice Address - Street 2:PHARMACY SERVICE (119)
Practice Address - City:TRAVIS AFB
Practice Address - State:CA
Practice Address - Zip Code:94535-1801
Practice Address - Country:US
Practice Address - Phone:707-437-1815
Practice Address - Fax:707-437-1822
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46807183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist