Provider Demographics
NPI:1265794374
Name:KIRCHGRABER, CHERYL A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:A
Last Name:KIRCHGRABER
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 1:5100 W LEMON ST
Mailing Address - Street 2:STE. 311
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-1111
Mailing Address - Country:US
Mailing Address - Phone:813-367-2653
Mailing Address - Fax:813-287-1324
Practice Address - Street 1:5100 W LEMON ST
Practice Address - Street 2:STE. 311
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-1111
Practice Address - Country:US
Practice Address - Phone:813-367-2653
Practice Address - Fax:813-287-1324
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS37462183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist