Provider Demographics
NPI:1851460224
Name:CASON, CHERYL S (CPHT)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:S
Last Name:CASON
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 CITY PARK DR UNIT 214
Mailing Address - Street 2:
Mailing Address - City:LENOIR CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37772-4378
Mailing Address - Country:US
Mailing Address - Phone:865-986-6181
Mailing Address - Fax:
Practice Address - Street 1:501 ADESA BLVD.
Practice Address - Street 2:SUITE A 150
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37771
Practice Address - Country:US
Practice Address - Phone:865-986-4530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000018319183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician