MEDICARE: DR. CHERYL A FOLEY PHARM D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1200X	Pharmacotherapy Pharmacist	PS19404	FL

General Provider Information

NPI Number	:	1750555736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERYL A FOLEY PHARM D

Provider Business Mailing Address
First Line	:	5012 W SAN MIGUEL ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5429
Country	:	US
Telephone Number	:	813-288-0715
Fax Number	:	813-288-8482

Provider Business Practice Location Address
First Line	:	5012 W SAN MIGUEL ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5429
Country	:	US
Telephone Number	:	813-288-0715
Fax Number	:	813-288-8482

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2008
Last Update Date	:	06/20/2011

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