Healthcare Provider Details

I. General information

NPI: 1770466732
Provider Name (Legal Business Name): SNEHA CHINTALA CHERUVU RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1851 N RIVERSIDE AVE
RIALTO CA
92376-8069
US

IV. Provider business mailing address

3470 E 4TH ST UNIT 2072
ONTARIO CA
91764-5074
US

V. Phone/Fax

Practice location:
  • Phone: 909-292-7130
  • Fax:
Mailing address:
  • Phone: 909-292-7130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number90545
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: