Provider Demographics
NPI:1750434130
Name:BEHE, CHERYL JOY (RPH)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:JOY
Last Name:BEHE
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 1:11520 BURBERRY DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-9020
Mailing Address - Country:US
Mailing Address - Phone:919-870-7627
Mailing Address - Fax:
Practice Address - Street 1:1003 12TH ST
Practice Address - Street 2:JOHN UMSTEAD HOSPITAL
Practice Address - City:BUTNER
Practice Address - State:NC
Practice Address - Zip Code:27509-1626
Practice Address - Country:US
Practice Address - Phone:919-575-7394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10384183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10384OtherSTATE LICENSE NUMBER