Healthcare Provider Details

I. General information

NPI: 1972932820
Provider Name (Legal Business Name): CHERYL ONETO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2013
Last Update Date: 11/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 HWY 104
IONE CA
95640
US

IV. Provider business mailing address

PO BOX 409099
IONE CA
95640-9099
US

V. Phone/Fax

Practice location:
  • Phone: 209-274-4911
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH 53622
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: