Provider Demographics
NPI:1356105282
Name:VIRACOLA, CHERYL ANN (PHARMD)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:VIRACOLA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:ASBILL
Other - Last Name:VIRACOLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3032 LAWSON WALK WAY
Mailing Address - Street 2:
Mailing Address - City:ROLESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27571-8754
Mailing Address - Country:US
Mailing Address - Phone:919-523-3287
Mailing Address - Fax:
Practice Address - Street 1:1101 SLATER RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-8447
Practice Address - Country:US
Practice Address - Phone:919-523-3287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10264183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist