Healthcare Provider Details

I. General information

NPI: 1780748715
Provider Name (Legal Business Name): CHERYL AMIN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 PARNASSUS AVE RM C-152 BOX 0622
SAN FRANCISCO CA
94143-2206
US

IV. Provider business mailing address

521 PARNASSUS AVE RM C-152 BOX 0622
SAN FRANCISCO CA
94143-2206
US

V. Phone/Fax

Practice location:
  • Phone: 415-502-8208
  • Fax: 415-476-0688
Mailing address:
  • Phone: 415-502-8208
  • Fax: 415-476-0688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number58394
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: