Provider Demographics
NPI:1720300643
Name:NOLTE, CHERYL LYNN (RPH)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:LYNN
Last Name:NOLTE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 EASTWIND DR STE 115
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-3344
Mailing Address - Country:US
Mailing Address - Phone:888-503-2524
Mailing Address - Fax:888-402-0050
Practice Address - Street 1:975 EASTWIND DR STE 115
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-3344
Practice Address - Country:US
Practice Address - Phone:888-503-2524
Practice Address - Fax:888-402-0050
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03120656183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist