Provider Demographics
NPI:1750994745
Name:DE LEON, CHERIELYNE (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:CHERIELYNE
Middle Name:
Last Name:DE LEON
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:CHERIELYNE
Other - Middle Name:
Other - Last Name:BALDUGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, RPH
Mailing Address - Street 1:94-451 KUAHUI ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-1234
Mailing Address - Country:US
Mailing Address - Phone:808-651-5793
Mailing Address - Fax:
Practice Address - Street 1:94-849 LUMIAINA ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-5677
Practice Address - Country:US
Practice Address - Phone:808-664-7730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-4577183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist