Provider Demographics
NPI:1801634845
Name:GARCIA, CHERIKA SEXON
Entity type:Individual
Prefix:MS
First Name:CHERIKA
Middle Name:SEXON
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHERIKA
Other - Middle Name:STA ANA
Other - Last Name:SEXON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21138 ROYAL AVE
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-4740
Mailing Address - Country:US
Mailing Address - Phone:510-980-2584
Mailing Address - Fax:
Practice Address - Street 1:1550 E 14TH ST
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-4807
Practice Address - Country:US
Practice Address - Phone:510-351-7957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA89617183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist