Provider Demographics
NPI:1982121836
Name:CHHEUY, JEFFEREY (PHARMD)
Entity Type:Individual
Prefix:
First Name:JEFFEREY
Middle Name:
Last Name:CHHEUY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 SETTLERS DR
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81008-1885
Mailing Address - Country:US
Mailing Address - Phone:951-288-8859
Mailing Address - Fax:
Practice Address - Street 1:4080 W NORTHERN AVE
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81005-3503
Practice Address - Country:US
Practice Address - Phone:719-561-0951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-22
Last Update Date:2017-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0021909183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist