Provider Demographics
NPI:1013256015
Name:CHEARIS, MITZI ARNIECE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MITZI
Middle Name:ARNIECE
Last Name:CHEARIS
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 1:1366 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-2008
Mailing Address - Country:US
Mailing Address - Phone:901-272-7883
Mailing Address - Fax:901-248-3008
Practice Address - Street 1:1366 POPLAR AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-2008
Practice Address - Country:US
Practice Address - Phone:901-272-7883
Practice Address - Fax:901-248-3008
Is Sole Proprietor?:No
Enumeration Date:2013-02-11
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35840183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist